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2. School/Educational Institution Name*
4. City
5. State
7. Teacher/Administrator Name*

   Please provide the name of the on-site person in charge.

9. Teacher/Administrator Email Address*

   Do not use a generic e-mail address.  Upon approval APR will provide an online registration link. Registrations will be taken first-come first-served.

10. Phone Number
12. Number of Skaters

    Ashland Parks and Recreation Fees and Charges require a $100 fee per group of 30 skaters and limited to a maximum of 60 skaters ($200 fee for 31-60 skaters.) This number does not include teachers & chaperones. Groups over 60 skaters are not permitted.

    1. 1-30 Skaters
    2. 31-60 Skaters
13. Method of Payment*

    Payment is required prior to or at the time of arrival to the ice rink.

    1. Credit Card - Phone Payment
    2. Credit Card - At Time of Arrival to Ice Rink
    3. Check - At Time of Arrival to Ice Rink
    4. Cash - At Time of Arrival to Ice Rink
15. Acknowledgement of Form Submission*

    Please acknowledge online form submission and registration policy.

    1. I acknowledge that submission of this form is not a guarantee of approval for school field trip group reservation.
    2. I acknowledge that reservations will be confirmed by completing online registration using a link provided by Ashland Parks and Recreation Staff upon approval.
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field