Kumeyaay Family Night at Flip Force San Diego! Please fill out this online registration AND the electronic waiver!
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Emergency Contact Info
Students entered below will be added to your family's account
How many participants are in your party? ($15/participant or $50/family of 4 or more)*
I understand that I need to fill out an online waiver for EACH participant before arriving to the event. Waiver Link:*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*