Registration
PARENTS NIGHT OUT [Ages 5+]-Last Saturday of every month EFFECTIVE 2/27/26 -MUST REG BY 6PM FRI PRIOR -$40 if pre-reg online, $45 IF REGISTERED DAY OF or at the door for walk-ins *YOUR CARD WILL BE CHARGED AT TIME OF REGISTRATION. Drop the kids off for a semi-structured time to play in the gym while parents get a night off. 2 slices of pizza and 1 Water are provided **MUST HAVE A MINIMUM OF 5 ATHLETES TO HOLD EVENT *-*YOU WILL BE CONTACTED BY 5PM THE DAY OF EVENT IF CANCELED *-
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 (Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Do you allow snacks to be purchased onto your account to be charged at this event?*
 
Additional Information:
 
Photo Release
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I've read the above and agree.
 
Liability Release and Waiver Form
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I've read the above and agree.
 
Declined Card Policy
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I've read the above and agree.
 
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:*