Registration
Parents Night Out / Kids Fun Night - Games (Dodge "Foam" Ball, Messy Backyard, Hide & Seek) Trampoline, Foam Pit, Rope Swing, Pizza Party, Snack, Movie & more! Register online now to reserve your spot! $35.00 per child when registering online before the event. $40 per event day of or at the door if we have openings. If you register and do not let us know at least 24 hours before, no refund will be given.
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*
 
 
Students entered below will be added to your family's account
 
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:*