Booking Person's Name (required): Booking Person's Phone Number (required): Booking Person's Email (required): Birthday Person's Name: Birthday Person's Age: Number of People In Party (minimum of 10): Do you want goodie bags ($2.00 per child)? YesNo What day and time would you like your party? Select Your Month December 08 January 09 February 09 March 09 April 09 May 09 June 09 Sept 09 Oct 09 Nov 09 Dec 09 Select Your Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Your Day and Time Saturday 12:00-2:00 Saturday 2:00-4:00 Saturday 4:00-6:00 Sunday 12:00-2:00 Sunday 2:00-4:00 Wednesday 6:30-9:00 Thursday 6:30-9:00 Friday 7:00-10:30 ($1 extra per skater) SUMMER HOURS: July or August Select Your Month July August Select Your Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Your Day and Time Saturday 11:30-1:30 Saturday 7:00-10:00 Wednesday 6:30-9:00 Thursday 11:00-1:30 Thursday 6:30-9:00 Friday 7:00-10:30 ($1 extra per skater) Questions or special comments about your party: NOTE: This is a REQUEST for a birthday party reservation. Your party is not confirmed until a representative contacts you to confirm availability. We accept cash only. Sorry, no checks or credit cards. Payment is due on the day of the party. Questions? Please contact us via email, or by phone at (518) 355-2140.

Rollarama Skating Center 2710 Hamburg St., Schenectady, NY (518) 355-2140 Copyright 2006 Rollarama Skating Center. All Rights Reserved. Site Design by Surf4 Design Group. Hosted by Surf4.net