Number of Reservations:
 
Ice Skates Rental $15
 
First Name: Last Name:
Phone Number: Email Address:
Address: City:
State: Zip Code:
   
Ice Skates Rentals Payment/ Chanukah Donation
Your support ensures our continued growth: 
Suggested Donation: $180 | Co Sponsor: $1000
 
Card Type: Card Number:
Exp Date: Card Verification Number: