Empire Roller Rink Private Party Booking Form
Welcome to our online party booking. By filling this page out and submitting it to us via email, we can get in
contact with you within 24-48hrs about the availability of the dates you request and give you a total package
price quote.  

Private party - You will rent the entire rink for your group. $6.00 per person (all attending will pay unless
special arrangements are made),
50 person minimum. You can have less than 50 people but the
minimum price is still applicable, $300.00.  If you have over 50 people its still $6.00 per person. That
includes skate rental and of course we have our full staff there to play games and to entertain your group.  
Music can be anything that your group would prefer !!  Everyone will pay, unless special arrangements are
made.
We do have food & drink specials in case you want to consider that for your group.
You are welcome to bring in any "sweet treats or cake" since we allow birthdays to do that.  

PLEASE READ THE FOLLOWING POLICIES AND CHECK BELOW
Food Policy: Please do not bring outside food or drink to your party other than a cake, cupcakes or a
brownie treat. Outside soda, pizza, and ice cream are not allowed.  We can arrange catering for your party.
Day, Date & Time of Party
Group Name        
What Kind of Party, Kids, adult, etc.
Organizers Name:  
Phone number:  
Address:
Email:
Who is pay for the party?  
How many guests
We can count or Collect
from each?        
Add-Ons:  
Beer & Wine? What kind?
Ice Cream platter $20.00
Glo Sticks $1.50 ea
Pizza’s $11.50 ea 1 toppings, how many
Pizza’s What Toppings?
Any other things needed?
How do you want to be
contacted, email or phone?
We will need a $100.00 deposit to hold the party, you can call with a credit
card 573-443-7375. The best time to call is Monday or Tuesday 11:30-1:30
pm Thanks you so much for booking your party with the Empire Roller Rink.