Registration

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:
I would like a Nerf Blaster Rental RESERVED for my child ($5 Rental Fee) as my child will not bring his/her own. If the Rental Blaster jams, my child will be given a different Rental (no add. fee).*
I would like EGA to provide my child with Protective Eye Wear Glasses ($2 Rental Fee) as he/she will not bring his/her own.*
I would like my child to be given a Rental Blaster if his/her Blaster jams ($5 Rental Fee). If this is selected NO, you will be called to pickup your child (no refunds).*
 
Additional Information:
 
Event Payment Agreement
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I've read the above and agree.
 
Event Cancellation Policies
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I've read the above and agree.
 
EGA Liability Release and Indemnification
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I've read the above and agree.
 
Nerf Blasters & Darts Agreement
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I've read the above and agree.
 
Protective Eye Wear
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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:
City: State: Zip:*