Registration Form

ONLINE LOCK-IN REGISTRATION

BIG “E” LOCK-IN!
Saturday
APRIL 5
11 PM – 7 AM
$28

Pre-Register & Receive a Free Short-Sleeved Big "E" Eisenbergs T-Shirt!

Price includes all night skating/biking/heeling plus pizza, donuts and milk.

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YES! I WANT TO REGISTER FOR The Big "E" Lock-In

$28 (plus tax)

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REFUND POLICY

No refunds or credits for any reason including but not limited to injuries.

To register online, fill out this form and submit.

You may also register at the Skatepark.
Helments and Waivers are required (if not already on file).
Helmets are available to rent in our Pro Shop.

FIRST NAME:
LAST NAME:
AGE (min. age 8-17):
EMAIL ADDRESS
HOME NUMBER:
CELL NUMBER:
PAYMENT INFORMATION *REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED*
Payment Method:
Total Due:
Card Number:
Expiration Date:
Name on Card:
Billing Address:
Billing City/State/Zip:
PARENT INITIALS	By initialing above, I accept terms of registration, including Refund Policy and Waiver Requirements. Registration will not be accepted without initials.