LOYOLA SCHOOL SKATEFEST XV FORM Date: Friday January 13, 2012 (no rain date) Time: 6:15 – 8:30 PM Place: Citi Pond at Bryant Park on 42nd Street between 5th and 6th Avenues
Name of Student _________________________________ Year _______________________ Phone _____________________ E-Mail _________________________
Number of skaters @ $15.00 each _____________
Number of skaters w/skates @ $10.00 each _____________
Number of spectators @ $5.00 each _____________
TOTAL AMOUNT enclosed $______________
Please make checks payable to: LOYOLA PARENTS ASSOCIATION
There will be PRIZES . . . come join the FUN!!