Events > Convention and Tradeshow Sign-Up Form

Convention and Tradeshow Sign-Up Form for Non-Members

For Convention and Trade Show info: Click here for more information.

Visit www.rollerskating.org for more info.

Event: 2013 Convention and Tradeshow - Non-Member Registration
Date: 5/5/2013
Location: Silver Legacy - Reno, NV
* = required
General Info
Skating Center Name (if established):

Attendees Info and Cost
* Number of Registrants - $675 each:
Number of Additional Registrant - $675 each (5th and more attendee):

Please list name of registrants and their affiliations with the rink listed above, i.e. owner, operator, manager, employee. Example: "John Smith, Owner." Children under 17 are free and can be registered after paid registrants below.

* 1st Registrant Name:
* 1st Registrant Affiliation:
2nd Registrant Name:
2nd Registrant Affiliation:
3rd Registrant Name:
3rd Registrant Affiliation:
4th Registrant Name:
4th Registrant Affiliation:

Children under 17 are admitted free to trade show and seminars. Please register them below.

Child Registrants Names & Ages:
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The President's Dinner is included in your registration fees. Please include only those delegates attending the President's Dinner here. There is no credit applied to fee if not attending the dinner. Additional tickets can be purchased below for adults not attending the convention and children.

"Included" Dinner Attendees:

Additional Presidents Dinner Tickets

You may purchase additional President's Dinner tickets for 5th and higher Delegates, day pass holders and trade show only pass holders. Additional adult tickets are $100.00 each.

If any children under 17 are attending the President's dinner, tickets must be purchased for them. Tickets are $40.00 each for children.

On-site ticket purchase will be limited.


Name of Additional Adult Ticket Holder 1:
Name of Additional Adult Ticket Holder 2:
Name of Additional Adult Ticket Holder 3:
Name of Additional Adult Ticket Holder 4:
Name of Additional Adult Ticket Holder 5:
Name of Additional Child Ticket Holder 1:
Name of Additional Child Ticket Holder 2:
Name of Additional Child Ticket Holder 3:
Name of Additional Child Ticket Holder 4:
Name of Additional Child Ticket Holder 5:

First Time Attendees

Indicate below those registrants attending the convention for the first time.

First Time Convention Attendees:
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Golf Tournament Registration
Roller Skating Association > Events

2014 JBL /Roller Skating Foundation Golf Classic

Support safe skating and college scholarships by playing in the RSF golf classic located at Siena Golf Course at 10575 Siena Monte Ave., Las Vegas, NV 89135 on Sunday, may 4, 2014. Lunch will be provided. For more information on the course, please call 888-689-6469 or visit www.sienagolfclub.com.

About the Course: Siena features an ideal blend of doglegs and straightaway holes, a mix of slender and ample fairways, a balance between benign and rugged green complexes. Yet without exception, the course offers a host of shot-making options and plenty of grassy bail-out areas when the occasional shot gets away.

Fees: $150 partcipation fee includes golf, range balls, lunch, 1st, 2nd, and 3rd place team prizes, $200 prize for 50ft putt if made on practice green after play. If more than one person makes the putt, there will be a putt off to determine winner. Additional $35.00 to rent clubs.

Time/Format: Check in time is 7:45 a.m., golf begins at 8:30 a.m. sharp. Two person scramble with 4 players per team. Golf registrations due by April 25, 2014. NO LATE ENTRIES, NO EXCEPTIONS. The RSA golfers will be teeing off with tee times not shotgun, so slots will NOT be available after April 25, 2014 unless we have a scheduled tee time available.

Click here to download the form  if you’d like to mail to foundation@rollerskating.com  at a later date. You may also call Stacy Thomas at 317-347-2626 Ext. 108.

* Name of Golf Registrant 1:
Name of Golf Registrant 2:
Name of Golf Registrant 3:
Name of Golf Registrant 4:
Preferred Golf Partners:
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Cancellation Policy and Your Info

Convention Cancellation Policy:

Thirty days prior to the convention date, a full refund, less a $75 processing fee, will be issued. Less than 30 days, no cash refund; the full registration fee, less a $75 processing fee, will be applied to next year's convention registration. There will be no refund or further credit if registrant does not attend the following year.
NOTICE OF CANCELLATION MUST BE IN WRITING AND ANY REFUNDS WILL BE GIVEN AFTER THE EVENT.

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* How would you like to receive your registration confirmation?

If you chose to receive your confirmation by mail, please indicate your mailing address in the "Shipping" section during payment. Thank you.

* Enter email address here: