Paradise Skate Night

VSE Paradise Skate Night

Please fill out this form to confirm your attendance for the skate night.
Parent Information
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Information
Participant Full Name

First NameLast Name
Participant Age
Are you part of Vega Stars Elite?
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Participant
Waiver
I understand that participation in skating activities involves physical activity and possible risk of injury. I voluntarily allow my child/myself to participate in the Vega Stars Elite Stars on Wheels event at Paradise Skate.

I understand Vega Stars Elite is not responsible for injuries, lost items, accidents, or incidents that may occur during this event.

By signing below, I acknowledge that I have read and agree to this waiver.
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
Should be Empty:

VSE Paradise Skate Night