Registration
3 openings left in this event!
IF YOUR CHILD HAS EVER BEEN IN CLASSES OR HAS ATTENDED A PNO, PLEASE CLICK ON THE LINK ABOVE "ALREADY A CUSTOMER? CLICK HERE TO LOGIN." SEPARATE REGISTRATION FORMS ARE REQUIRED FOR DIFFERENT FAMILIES. Refer to this page for pricing: https://gymfinity.com/events/parents-night-out/ Charges for the event will be calculated & your credit card will be charged once the registration is reviewed by the office staff. Multiple child discounts apply to immediate family members only. Online registration closes on 1:30 p.m. the day of the event or when the event is full. Cancellations up until 7:30 p.m. the Friday before the event will be issued a credit for the full amount of the registration fee. Cancellations after 7:30 p.m. the Friday before the event will not be issued a credit or refund. Pizza will be served for dinner around 6:00 pm.
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:
TIME REQUESTED (4:30-7:30pm or 4:30-8:30pm):*
Are the children you are registering siblings? IF YOU ANSWERED "NO" TO THIS QUESTION, PLEASE START ANOTHER REGISTRATION FORM FOR ANOTHER FAMILY. *
If you are a mixed family that has separate Jackrabbit accounts for siblings, please give us the full names of any other siblings so that we can appropriately discount registration:
I understand that Gymfinity sets safety standards that may differ from a "trampoline park". I will instruct my child that flipping & double jumping are prohibited.*
 
Additional Information:
 
Liability Waiver and Indemnity Agreement:
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I've read the above and agree.
 
Authorization of Medical Care:
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I've read the above and agree.
 
Authorization of Likeness Rights:
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I've read the above and agree.
 
Right of Removal:
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I've read the above and agree.
 
No Show or Missed Event Refund Policy:
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I've read the above and agree.
 
Late Pick Up Policy:
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I've read the above and agree.
 
No Electronics Policy
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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:*