Registration Form For more information call 262-377-7522           Return by mail to:   Ozaukee Skateland   7084 Sycamore Dr.   Cedarburg, WI. 53012  or come  in anytime we are open to pay by cash, check (Ozaukee county only) or credit card (visa or mastercard). Name_______________________________________________________    Age________    Date of Birth___________________  Male/Female___________ Address______________________________________________________________ City_____________________________________  Zip_______________ Home Phone__________________________________   Parents Name & Cell Phone #___________________________________________________ All participants must sign a waiver and release form before participating in any activities. Parent/Guardian Signature__________________________________________________________