East Alton Ice Arena

Middle School

LOCK IN

Date: Saturday, December 27

Time: 6 PM to Midnight

Price: $25

INCLUDES:

Entry To Event
One Fountain Drink
One Slice of Pizza from Joe's Pizza
Skate Rental

Student Info

Student First Name *

Student Last Name *

Student Birth Date

Parent #1 Info

Parent #1 First Name *

Parent #1 Last Name *

Parent #1 Phone *

Parent #1 Email *

Parent #2 Info (optional)

Parent #2 First Name

Parent #2 Last Name

Parent #2 Phone

Parent #2 Email

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Middle School Lock In

$25

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