Registration
Parents will get to have 3hrs to go to dinner, to the movies, grocery shop or just rest at home while we entertain the kids in a safe and loving environment. We will play games, enjoy gymnastics like trampoline and the foam pit. We will watch an appropriate movies, do arts and crafts and have pizza. We will offer this event once per month. child must be at least 3 yrs old and toilet trained. Our fun nights out are for ages 3 through adult.
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
 
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:*
 
 
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: