Ice Time Requests

Organization Name

Contact Person

Phone Number

E-Mail Address

Mailing Address

Has this group played historically on this ice pad (2+ years)?

Yes

No

Is this an ice pad change for a historical group?

Yes

No

Request #1 - Preferred Day(s)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Request #1 - Preferred Dates

Request #1 - Preferred Times

Request #2 - Preferred Day(s)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Request #2 - Preferred Dates

Request #2 - Preferred Times

Special Events Requests (i.e. tournaments, carnivals, etc.)

Please note that Special Events may require additional permits.

Event Contact, if different

Phone Number

E-Mail Address

Type of Event

Date(s)

Time(s)

Any additional notes:

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