Registration

This is a WAIVER. Please fill out information and answer all questions below.

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

* - denotes required fields

Your Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Questions/Options:


Sneakers are mandatory. Absolutely no exceptions. No slip ons, laces preferred. Have you read and do you agree to our other policies on the website?*
Name and birth date of the participant; minimum age is to participate is 6.*
Date of Event and brief description of Event (ex: 1/1/23 Billy Smith's birthday).*

Additional Information:

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.

Payment & General Policies

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I've read the above and agree.

Behavior Policy

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I've read the above and agree.

Enter your Full Name: