Registration
Need an evening without the kids? Parents' Night Out gives our parents the opportunity to take a well-deserved break! Go out for a night on the town feeling confident that your little ones are safe and having the time of their lives with their favorite coaches.
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:
Are there any allergies or special conditions we need to be aware of while your child joins us for Parents' Night Out?*
I understand this event must have a minimum of 3 registered participants in order for the BAD to hold the event.*
I understand that in the event of <3 registrations, I will be notified by BAD that Parents Night Out will be rescheduled to the next available date.*
 
Additional Information:
 
No-Show Policy
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I've read the above and agree.
 
Event Cancelation Policy
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I've read the above and agree.
 
Credit Card Authorization
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I've read the above and agree.
 
Assumption of Risk
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I've read the above and agree.
 
Release of Liability
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I've read the above and agree.
 
Photo Release Statement
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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:*