Girl Scouts Skate Day

Monday, October 12, 2026

6:00 - 7:00 PM
Scout
Scout Name

FirstLast
Date of Birth

MonthDayYear
T-shirt Size
Troop Number
Tagalong

A friend or sibling
Name

FirstLast
Date of Birth

MonthDayYear
T-shirt Size
Troop Leader
Troop Leader Name

FirstLast
Date of Birth

MonthDayYear
T-shirt Size
Troop Number
Troop Volunteer
Troop Volunteer

FirstLast
Date of Birth

MonthDayYear
T-shirt Size
Troop Number
Parent/Guardian

of the Scout and/or Tagalong
Parent/Guardian Name

FirstLast
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about Girl Scout Skate Day?
Louisville Skating Academy Release, Waiver of Liability, Assumption of Risk, Covenant Not to Sue and Indemnity Agreement (“Agreement”)
Signature

I agree to the Louisville Skating Academy WAIVER & RELEASE
Louisville Skating Academy PHOTO/VIDEO/MEDIA RELEASE
Signature

I agree to the Louisville Skating Academy PHOTO/VIDEO/MEDIA RELEASE
Payment
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Girl Scouts Skate Day - Scout Registration
$30 for Scouts

$30.00



Girl Scouts Skate Day - Tagalong Registration
$30 for Tagalongs

$30.00



Girl Scouts Skate Day - Troop Leader Registration
$30 for Troop Leaders

$30.00



Girl Scouts Skate Day - Troop Volunteer Registration
$30 for Troop Volunteers

$30.00



Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Monday, October 12, 2026