Registration
Kumeyaay Family Night at Flip Force San Diego! Please fill out this online registration AND the electronic waiver!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Click to Enter an International Number Cell #: Click to Enter an International Number Work #: Click to Enter an International Number
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
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: https://waiver.fr/rg-CgtGV*
 
Additional Information:
 
 
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:*