Registration

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 Parents Night Out is held on select Saturdays from 6:00 - 9:00 pm. During the time we will have structured gym play, games, and pizza dinner.  (you may bring your own dinner if you choose). Please bring a water bottle with your child  Kids must be at least 3 years old and potty trained to attend. Parents MUST preregister, the gym can NOT offer Drop Ins the night of the event.  This measure allows us to have enough of our trained staff on hand to ensure the safe and fun environment our children and parents greatly enjoy. Registration will CLOSE Thursday before the event date!  Cost: Members & Non-members : $30 per child
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 (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are there any allergies that we need to be made aware?*
Add the Fun Pack for an additional $5.00 ? Proceeds go to the Sally Newton Memorial Foundation Scholarship to provide students a chance to attend Ultimate Kids that would not normally be able to,*
 
Additional Information:
 
Water Bottles
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Enter your Full Name: *   
 
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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:*