Registration

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Girls Sleepover for ages 5 and up. Saturday November 2nd! Pizza, open play, movies, games and of course gymnastics! Lasts from 8pm-8am. Donuts and juice will be served in the morning. You do not need to be a member to participate! $60, must pay at sign up

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

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*

Questions/Options:


Are you a current member?
Do you have any allergies or conditions we need to be aware of?
Child's name and age

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:*