Registration
Leprechaun fun! Drop off your kids for some fun while you get started on your holiday shopping! We will provide pizza, snacks, and drinks (if you have food allergies, please bring your own) You don't have to be a student to attend Fun & Safe environment for the kids to be kids!
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:
 
Waiver of Liability
  (Show-Hide Details)
I've read the above and agree.
 
Assumption of Risk
  (Show-Hide Details)
I've read the above and agree.
 
Payment Policy
  (Show-Hide Details)
I've read the above and agree.
 
Photo/Video Release
  (Show-Hide Details)
I've read the above and agree.
 
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:*