Registration
1 openings left in this event!
Children must be at least 4 years old and fully potty trained in order to participate. Check-in begins at 6:30pm. Cost is $30 for the first child in a family and $25 for additional children in the same family. There is a $5 discount per family for pre-registering at least 24 hours before the event. Pizza and drinks will be provided. Activities include crafts, games, swimming, and a movie. Children who are not proficient swimmers will be required to stay in the shallow end of the small pool. The lifeguard may require any child to perform a swim test prior to allowing them to go into the big pool. Pick up is at 10:30pm. Discounts will be applied by SCSC before charges are run. **In the event that less than 6 children are enrolled two days prior to a Parent's Night Out event, the event will be cancelled and refunds will be issued to anyone who was pre-registered.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type (i.e. mother, father, etc.)*
Home Phone: Cell #: Work #:
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Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does the participant have any allergies or medical conditions? *
If the participant has known allergies and/or medical conditions, please provide detailed information about the condition and treatment.
Provide the name, relationship, and phone number of three (3) individuals allowed to pick up the participant.*
Emergency Contact (Name, relationship, and phone number)*
 
Additional Information:
 
 
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Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
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