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Lakeshore Roller World

                  

PLEASE NOTE: FOR "PRIVATE" PARTIES, OR FUN-RAISERS

There is a 25 Guest or $250 Min For "Private" Birthday Parties.

There is a 40 Guest or $220 Min. For "Private" Parties.

There is a 50 Guest or $275 Min. For "Private" Fun-raisers.

(Fun-raisers available to schools & non-profit groups only.)

PLEASE NOTE: FOR "PUBLIC" PARTIES, OR FUN-RAISERS

There is an 8 Guest or $80 Min For "Public" Birthday Parties.

There is a 50 Guest or $275 Min. For "Public" Fun-raisers.

(Fun-raisers available to schools & non-profit groups only.)
FOR MORE DETAILS PLEASE READ OUR BROCHURE

Please Complete Preliminary Reservation Form Below

Note:  All request must be confirmed by Lakeshore Roller World!

 First Name:                   Last Name:   

Organization Name:   

(If Applicable)

E-mail Address:             Web Address: 

                                   (I.e. someone@anywhere.com)

Primary Contact Number:      --                            Cell Number:   --

Alternative Contact Number: --                            Fax Number:    -- 

What type of event would you like to schedule?   

If "Other" selected, please specify event.      Estimated Number of Guest

Please select preferred event dates and times as well as two alternative choices. 

Preferred Date & Time

Date   Public Session Time   Private Session Time (Allowance: 2 hours)

. --                        From : To :

(I.e. Sun   01 - 31 -  10)                                                                                                             

 Alternative One Date & Time

Date   Public Session Time   Private Session Time (Allowance: 2 hours)

  . --                      From : To :

(I.e. Sun   01 - 31 -  10)                                                                    Allowance: 2 hours

Alternative Two Date & Time

Date   Public Session Time   Private Session Time (Allowance: 2 hours)

. --                        From : To :

(I.e. Sun   01 - 31 -  10)                                                                                    Allowance: 2 hours

If event is a birthday party, please complete the following:

Birthday Person #1's First Name      Birthday Person #1's Last Name

How old will Birthday Person #1 Be?       

Birthday Person #2's First Name      Birthday Person #2's Last Name

How old will Birthday Person #2 Be?

 

Birthday Person #3's First Name      Birthday Person #3's Last Name

How old will Birthday Person #3 Be?   

(By submitting your request, you agree that we may contact you.  Contact may include email, phone, fax and/or mail by carrier.)

If you have any questions please e-mail us:
rollerwo@sbcglobal.net

 (269) 429-7700  or (888) 91-SKATE

Home |  Read Our Brochure |  Book Your Party Online  |  Schedule  |  Activities  |  Parties  |  Directions  |  Skates
© Lakeshore Roller World
5567 Red Arrow Highway
Stevensville, Michigan 49127