Join us for our Senior Movie Night at the studio. Rug up and come along for a movie, pizza and popcorn. Cost per student is $10. Limited spots available and bookings are required.
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State/Prov: * Postal Code: *
Emergency Contact Info (Not Contact #1 or #2)*
Students entered below will be added to your family's account
How many students will be attending our Senior Movie Night and what are their names?*
Will they be bringing a friend or sibling that is not a student? *
Do any of the students/attendees have any dietary requirements or allergies we need to be aware of?*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State/Prov: Postal Code:*