Registration
Take a few hours to yourself while your kiddo enjoys the freedom of our studio supplied with games, music, snacks and a movie!
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:
Does your child have any food allergies?
Is there anything we need to know to better assist your child during their time with us?
Will you be picking up early? I.e. before 9:00pm. If so what time do you plan on arriving for pick up?
 
Additional Information:
 
Assumption of Risk Event Version
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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.
 
Assumption of Risk
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I've read the above and agree.
 
COVID - 19
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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:*
 
 
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: