Registration
4 openings left in this event!
Children will enjoy dinner (pizza and carrot sticks) games, art, dance and FUN!!!!! If you want to send your kiddos in their pajamas they will be already for bed when you pick them up! Or pack a pajama bag and we will make sure they get changed ; ) Please bring a labeled water bottle for your child ; )
Event:
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Waiver
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
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:*