Registration

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All ages Price: $15 non-member & $10 for members. Let your kids have an amazing time with us while you get some Free Time! Trampoline fun, foam pit fun, games, activities and prize drawings for the kids! Your payment will be automatically run on the day of the event.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Parent's Information

	First Name:*	Last Name: *
	Parent/Self if over 18*
	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:

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:*