Registration
5 openings left in this event!
Citizens Church Private Parent's Night Out Our incredible staff will provide an evening full of gymnastics. games, activities, as well as providing dinner, and snacks.
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:
Please list your child's allergies:
 
Additional Information:
 
Waiver
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Photo Release
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COVID Release
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COVID Policies & Procedures
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Drop Off and Pick Up Plan
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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:*