Registration

Need some time to relax? Encore's zany staff will entertain the kids while you enjoy a well-deserved night out! Children are grouped by age to spend the evening with our super staff doing gymnastics, jumping, climbing, and much more! This event does not include a designated snack time, No food is provided.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation to student*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Name & phone of an adult LIVING OUTSIDE YOUR HOME if unable to reach you in case of emergency*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Name of a friend your child would like to be grouped with. We do our best, but some group requests cannot be honored. Kids more than 18mos apart in age cannot be grouped together for safety reasons.*
 
Additional Information:
 
Communications Policy 2022
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Events 2024
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Cancellation Policy
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Participants
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Safety Policy 2022
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Privacy and Security Policy 2022
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Registration and Membership 2022
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Payment Policies 2022
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Assumption of Risk 2022
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Release of Liability 2022
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Medical Emergencies 2022
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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:*