Registration
Our Spook-tacular fun night will be hosted at our Umatilla location. Dancing, Games, Crafts and Snacks! | Bring a sleeping bag/blanket and pillow if staying all night! | Eat dinner before you come, snacks served late. | 8pm-midnight: $20 8pm-8am: $30 | Once your registration is submitted, your account will be adjusted and charged accordingly.
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
 
Questions/Options:
Staying until midnight or 8am?*
 
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:*