Registration

OSA wants to invite your kids to our PJ Party! We have a fun filled night of swimming, Kidopolis and a PJ Party with movie and snacks. We want your whole family to join this amazing event! Please view the breakdown of the cost. 1st Child - $75.00 2nd Child - $50.00 3rd Child - $40.00 When you do register it will require a credit card on file. We will not process the payment until all discounts have been applied.
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/Prov: * Postal Code: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your child have allergies?
Special notes and arrangements?
Can your child dress yourself?
 
Additional Information:
 
Medical Conditions
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I've read the above and agree.
 
Healthy swim etiquette
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I've read the above and agree.
 
Infection
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I've read the above and agree.
 
Release
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I've read the above and agree.
 
Media Release
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I've read the above and agree.
 
Cancellation
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I've read the above and agree.
 
Information
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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:
Country: *
City: State/Prov: * Postal Code:*