Registration
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Join us for a fun and unique Parent Afternoon Out event on June 19th. Drop the kids off and enjoy 4 HOURS to run errands, grab some lunch with friends, or even sit by the pool and relax! In the meantime, your kids will be having a blast with our Rockstar coaches as they play gym games, tumble, work on Father’s Day themed arts & crafts, water activities (weather permitting), enjoy lunch, and so much more. We have added an optional hour for Dad’s to come into the gym with their children that are attending the PNO event and learn how to tumble and stunt with the help of our Rockstar Coaches. Mom’s are welcome to watch from the parent room and take pictures and video to capture this special Father’s Day memory. This is an optional hour session and not required in order for your children to attend the PNO event. There is an additional fee for this special hour session for each child.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
(Emails are kept confidential)
Address:
*
City:
*
State:
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AK
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AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
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KY
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OR
PA
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Zip:
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Emergency Contact Info
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Birth Date:
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
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Birth Date:
*
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Additional Information:
Other Questions/Comments:
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Exp Year:
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Address Line 1:
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City:
State:
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ME
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NC
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NE
NH
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NV
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OH
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OR
PA
RI
SC
SD
TN
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UT
VA
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WA
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WV
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PR
VI
Zip:
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