Registration
Enjoy Valentine’s Day without worrying about childcare. Legacy Cheer is hosting a Valentine’s Day Parents Night Out, giving kids a fun-filled evening while parents enjoy a night out. Friday, February 14 5:30–10:00 PM Ages 4–12 Activities include tumbling, games, arts & crafts, movies, and free play. $30 per child $5 additional for dinner Limited spots available.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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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
 
Questions/Options:
Will your child(red) be participating in dinner (Additional $5)?*
 
Additional Information:
 
Participant Agreement and Assumption of Risk
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I've read the above and agree.
 
Additional Indemnification
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I've read the above and agree.
 
Payment Agreement
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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:*