Registration
Valentine's Day Kids' Night Out (ages 4-9yrs). February 14th, 5:30-8:30pm. Sherman Oaks Studio (14328 Ventura Blvd). $55 / child, includes dancing, games, crafts, Marco's pizza & movie time. PLEASE MAKE NOTE OF YOUR FRIENDS' NAMES IN THE COMMENTS SECTION IF YOU PREFER TO STAY TOGETHER!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Relationship to Student
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Other than parent)*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Late Pickup:
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Tuition Fees/Cancellation:
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Enter your Full Name: *   
 
Other Questions/Comments:
 
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:*