Registration

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Parent's Night Out (PNO) is a fun-filled 4 hour event, where we keep your kids active and engaged. They get pizza, tons of gym time, a family friendly movie and popcorn. These events are held monthly during the school year. Children must be at least four (4) years of age and potty-trained. $30 for gym Members $35 for Non-Members (friends)

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*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	USAG #:
	Raw T-shirt Size:
	Boys Rec T-shirt Size:
	Ninja T-shirt Size:
	Previous gym attended:

Questions/Options:


What is the name of the child attending?

Additional Information:

No Show Charge

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I've read the above and agree.

Enter your Full Name: