Registration
An event for both girls and boys from ages 5-12 where they will be doing stunts, jumps, tricks, and obstacle courses. Its open for everyone and anyone! It will be from 6pm-9pm and parents have the choice to stay and watch or leave your children here and have a night for yourself. We will provide pizza for all participants at the END of the night. If you have any further questions about the event please see the front office. (A $5 late fee will be added starting January 30th)
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:
Is the participant male or female?*
Does the participant have any special needs?If so, please explain.*
Does the participant have any allergies? If so, please explain.*
Do you have any questions or concerns about the event? If so, please explain.*
 
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:*