Registration
Pre-Register here for Parents Night Out! Doors open at 4:30pm with until closing at 8:30pm. Board games, pizza, gymnastics games and a movie will be provided to all participants. Cost is $30 per child (free with monthly Open Gym pass)
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Participant Waiver
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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: