Requester Title - None -Mr.Mrs. First Name Last Name Preferred Official Language English Français Organization or Group Name Contact Information Email Cellphone My group is 25 or smaller; I am happy to share ice time with another group and increase my chances of getting a time slot on the rink. Yes No Number of visitors - Select -151617181920212223242526272829303132333435363738394041424344454647484950 Date Requested (first choice) Date Time - None -1:00 PM – 2:30 PM2:30 PM – 4:00 PM4:00 PM - 5:30 PM5:30 PM – 7:00 PM7:00 PM - 8:30 PM Time - None -5:30 PM – 7:00 PM7:00 PM – 8:30 PM Date Requested (second choice) Date Time - None -1:00 PM – 2:30 PM2:30 PM – 4:00 PM4:00 PM - 5:30 PM5:30 PM – 7:00 PM7:00 PM - 8:30 PM Time - None -5:30 PM – 7:00 PM7:00 PM – 8:30 PM Declaration I certify that the information provided in this form is accurate and I understand that duplicate entries will not be included in the draw. Submit