Registration
Kids will enjoy 3 hours of gym time, free play, games, activities, movies and even a pizza dinner.
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
MEDICAL TREATMENT
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I've read the above and agree.
 
ACKNOWLEDGEMENT OF RISK
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I've read the above and agree.
 
INFECTIOUS DISEASE DISCLAIMER
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I've read the above and agree.
 
CONSENT
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I've read the above and agree.
 
PHOTO & VIDEO RELEASE
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I've read the above and agree.
 
WAIVER AND RELEASE
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I've read the above and agree.
 
FINAL
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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:*