Empire Roller Rink's Happy Birthday Skate Club sign up Form
Sign up below for our "FUN" birthday club and during the entire month of your
birthday we will email you fun special coupons to come and skate!!

For your birthday you will receive one FREE admission including skates

We will not share any of your information.
Birthday Childs Name
Parent name        
Phone Number
Email:
Child’s DOB
Child’s Age
Comments: