Registration

Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
We are excited to share that Santa will be writing personal letters to each child that registers for this event! Please leave your address below:*
Name to be addressed to if different than the child?*
How does Santa need to address your child? Nickname?*
Your child's first and last name?*
Boy or Girl*
 
Additional Information:
 
 
Other Questions/Comments:
 
Please fill out ONE of the following Payment Methods.
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:
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: