Registration
Duration: 6:00p-9:00p Fee: $35/Participant. 20% sibling Discount (Will be applied after registration) This event includes: Food & Drinks, Gymnastics activities, Movie & other fun activities for the kids. Everyone must put in a CC on the registration form. The card on file will be charged upon registering for the event within 24-48hrs. Fees will be adjusted to include sibling discount if needed. Due to capacity limits, walk-ins will not be allowed. Everyone must fill out a registration form to participate in the event. If card on file is declined, the child will be removed from the list. Ages 3-13 years old (Must be potty trained)
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 Name and Number (If Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Payment Policy
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Time and Pick Up Policy
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Parental Consent
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Permission to Administer Emergency Medical Treatment
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Liability Waiver
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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:*
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: