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2. School/Group Name*
4. Address*
6. Group Lead Name*

   First and Last Name

8. Group Lead Email Address*
9. Group Lead Phone Number*
11. Day-of-Visit Contact Name*
12. Day-of-Visit Phone Number*
14. Number of People in Attendance*

    This includes all children, staff, and chaperones who plan to skate.

16. All guests entering the facility will be charged the group rate of $10 per person which includes admission and skate rental.

20. Requests are taken on a first-come, first-served basis. Dates are not guaranteed until you receive a confirmation email.  

22. Dates of Interest: 1st Date/Time*
    Dates of Interest: 1st Date/Time

    Dates of Interest: 1st Date/Time
23. Estimated Length of Stay:*
25. 2nd Date/Time
    2nd Date/Time

    2nd Date/Time

    Please indicate if you only want the following dates as a backup date, if your first choice(s) is not available, or as additional dates.

26. Estimated Length of Stay
27. Additional or Backup Date?

    1. Additional Date
    2. Back Up Date
29. 3rd Date/Time
    3rd Date/Time

    3rd Date/Time

    Please indicate if you only want the following dates as a backup date, if your first choice(s) is not available, or as additional dates.

30. Estimated Length of Stay:
31. Additional or Backup Date?

    1. Additional Date
    2. Back Up Date
35. Notes:

37. I have read and understand the group policies, rules and ratios and my group will adhere to them. I understand that these policies, rules and ratios are subject to change without notice if deemed necessary for the safety and comfort of patrons and staff.

39. Acknowledged By:*
40. Date:*
    Date:
42. 1. Once submitted, you can expect an email within 72 business hours to confirm date(s), if they are available. If you have additional questions about Discovery Park Ice Trail, please email nwiepert@parkeronline.org or call 303.805.3294.
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field