Registration
Parents, enjoy a night out while your students (ages 7–17) jump into an evening packed with fun, connection, and our first-ever VR event! Along with the new Limitless VR attraction, students can enjoy: • Gaga Ball • 9 Square in the Air • Basketball • High-energy activities * $20 per student (family discounts available *Includes pizza + a drink (Additional concessions and vending machines open available) Note-Provided payment methods will be processed at time of enrollment and will serve as official reservations in case the event is sold-out.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are there any food allergies or medical concerns that staff need to be made aware of?
 
Additional Information:
 
RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Please fill out ONE of the Payment Methods.
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip:
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: