CHANUKAH @ FENTON FIRE & ICE SPECTACULAR

UPDATE DEC 21 - The second shift is full. We still have room for skating in the 4:30 - 5:30 shift.
This form is for those registering for ice skating.
All are welcome to attend the festivities without skating.
Full Name:*
First NameLast Name
E-mail:*
Number of Adults Ice Skating:*$10/Adult
Number of Children Ice Skating:$5/Adult
Please select a skating slot:*
1st shift (4:30 to 5:30)
Optional Donation:
Sponsorship - $180Sponsorship - $360Other (Please specify below.)
Other Donation Amount:
$
Total
$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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