The Wilmington Ice House • 7201 Ogden Business Lane • Wilmington, NC 28411 • (910) 686-1987 .

* denotes required fields

 

Personal Detail Participant's Name*

Participant's Date of Birth (MM/DD/YY)*

Parent or Guardian (if applicable)

Address*
City*
 State*
 
 Zipcode*
 

Phone (Home)*                        Phone (Work or Cell)
        
Email*                                    How did you hear about our program?
        

Have you ever taken Skate School before? 

If so, what was your last level completed?
 


Program Details Cost of program (###)*
 

Program of Interest*

Release of Liability
In order to participate in any of our programs, you must agree to the terms in our Release of Liability form. By clicking yes below, you are stating that you have read our Release of Liability form and you are agreeing to the terms stated therein.

Release of Liability Form (click here)
Yes, I have read and agree to the terms
No, I am in disagreement with the terms stated in the Release
 

Payment Detail
Card Type*
Expiration Date (MMYY)*
 

Card Number (no spaces or dashes)*

Security Code (last 3 or 4 digits on back of credit card)*

Cardholder's Name*

Additional Comments or Coupon Code

Include me in the Wilmington Ice House email mailing list so I will receive 2 FREE Admission passes for any public skating session (first time enrollers only) and I will receive regular updates and discount passes for programs and offerings at the Wilmington Ice House. Only 2 passes per mailing address will be honored.

Please note:
Enrollment in all programs is limited. You will receive a return e-mail or phone call to confirm the status of your registration.


Cancellation policy: Cancellation received at least 30 days prior to our programs will be refunded less a $25 administration fee. No refunds will be offered for voluntary withdrawal or for expulsion from camp.