Registration
"Calling all parents! Give yourselves a well-deserved break and let us take care of the fun at The JAM Parents Night Out! Drop off your energetic explorers, aged 4 to 12, for an evening of excitement every weekend from 6 PM to 10 PM. Picture this: while you enjoy some quality "me time," your kiddos will be immersed in a world of thrilling games, creative crafts, and delicious pizza (choose between classic cheese or zesty pepperoni). It's a win-win! Our dedicated team ensures a safe and entertaining environment for your little ones, leaving you free to unwind. Don't miss out
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:
Would your child like Cheese or Pepperoni pizza?*
 
Additional Information:
 
Release of Liability
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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:*