PTSO  Family Roller Skating Party

WHO?      Elementary and middle school students, siblings and parents
                   (Parental supervision required for students Grade K-3.)

WHEN?    Saturday, January 30, 2010, 10:00 a.m. – 12:00 Noon

WHERE?  Reva Roller Skating Rink, 359 W. Genesee Street, Auburn (315-252-8225)
                        (directions at www.lansingptso.com)

HOW?      School bus leaves elementary school at 9:00 a.m. OR take your own car

COST?     PTSO members are $5 per person skating
               Non-members are $7 per person skating*
                     
       (*add your membership to use the PTSO member discount
              Your registration fee includes skates, pizza, soda and transportation!

Got Blades?
 Your own roller blades or skates can be used (but need to be checked by Reva)
Got Safety Gear? Inexperienced skaters are encouraged to bring knee pads, elbow pads and helmets

Contact Cathy Nelson (277-6495, cnelson14850@gmail.com, or cell 279-9028)
Visit www.lansingptso.com for more information and forms.
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YES!  We want to have fun and will be attending the January
30th Roller Skating Party in Auburn (for
elementary and middle school students, siblings and parents).  
Return this form with payment by
Tuesday, Jan. 26th to the elementary or middle school offices.

Names of ALL those coming:                                                     (circle one)           (circle one)

1. __________________________ Grade # ___  or Parent       Bus or Car        Skating or Watching

2. __________________________ Grade # ___  or Parent       Bus or Car        Skating or Watching

3. __________________________ Grade # ___  or Parent       Bus or Car        Skating or Watching

4. __________________________ Grade # ___  or Parent       Bus or Car        Skating or Watching

Parent’s name ____________________________ Phone number _________________________
By signing this form, I agree not to hold the PTSO or anyone associated with this event liable for any injury or illness as a result of
participating in this event.

____ x $5/person (or $7) = _______ (cash or check payable to Lansing PTSO) + ____ *membership?
(# skating)
~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~
_____ Yes, I want to include my $10 to join the PTSO and take advantage of the family membership discount.
(-or- _____$45 Five Year Family Membership –or- _____$100 Lifetime Family Membership)

Parent(s) Name _______________________________________________

Address  ____________________________________________________

Phone #___________________  E-Mail ____________________________

Name(s) & Grade of Student (s) ___________________________________
                                                                                            {For PTSO only: Pmt: ck -or-cash  /  car -or- ___Bus  /   ___Skating}