Registration

Parents Night Out Friday 02/17/2024 6:00-9:00 pm. This is open to the public. The night will include pizza, play time in the gym and a movie. The cost is $25.00 per child.
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: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What ages? Athletes aged 6-14 years old. They must be able to use the restroom independently and be able to be away from parents for the duration of the event.
 
Additional Information:
 
Waiver
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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:*