Registration

Drop the kids off for an exciting night of ADVENTURE as they race through our inflatable bounce house obstacle course, play NERF WARS, participate in cupcake walks, guessing contests, a floor obstacle course with Survivor like puzzles, enjoy music, pizza, beverages, ice cream, and at the end of the night we will hold a TRIBAL COUNCIL to announce the winner of our GOLDEN TICKET!
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
 
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:*