Registration
Extended Fun Friday Open Gym 6:30 pm - 11:00 pm $40 per child (non-refundable) For boys & girls ages 4 1/2 -13. No jewelry. Must wear athletic/flexible clothing.
Includes pizza & Juice. Children may buy extra snacks and drinks in the Coca-Cola room.

. Gymnastics Fun, Group Games, Costume Contests, Prizes, Food & Drink!

Card will be run at time of registration. No refunds.

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
 
Questions/Options:
What kind of dinner would your child(ren) like? Options are Pepperoni, Cheese, Hot Dogs. Multiple children: please list names and dinner type if not all the same. EX.: Mary Hot dog, Daniel Pep*
Are you redeeming any FREE OPEN GYM passes? Must present coupon before event to receive discount. If not received, the full amount will be charged.*
If Yes, what kind? ( Fully punched Fun Friday Loyalty card, Birthday coupon, $15 off discount for each)
Is the child(ren) coming from the After School program, Camp or class directly to Extended Fun Friday?*
Questions/Comments
 
Additional Information:
 
Payment Agreement
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Disclaimer/Waiver
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Audio and Image Consent
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Late Pick Up Fee
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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:*