WELCOME TO SKATE AMERICA!
FAMILY ROLLER SKATING, GAMES, PIZZA, PARTY AND FUN CENTER
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Parent's Name (Contact)
Child's Name
Child date of birth
Session and date requested
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone
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Evening Phone
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E-mail Address
Comments
Private or public party?
Approximate number of guests
Type of party (standard or deluxe)
Type of pop - choose 2 (Pepsi, Diet Pepsi, Mt. Dew, Dr. Pepper, Fruit Punch, Sierra Mist, Root Beer, Pink Lemonade)
Extra add-ons (16inch X-Large pizza $13.99, Balloon Bouquet $5.99, Soft Drink Pitcher $3.99)
SOMEONE WILL BE IN CONTACT WITH YOU ASAP TO VERIFY YOUR RESERVATION.
SKATE AMERICA
GROVE CITY, OH
