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Need a night out? Drop your kiddos off for a night full of fun at Flipside Empire!
Kids will get 3 hours full of games, gym time, crafts, and Pizza/Drink!
We will provide cheese pizza and capri sun or juice for every kid.
Ages 3-13 years old.
** 3's must be potty trained and bathroom independent**
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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Liability Waiver
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I understand that there are risks of physical injury (including but not limited to cuts, sprains, broken bones and/or catastrophic injury) associated with, arising out of and inherent to the activity taking place during this sport. In recognition of this acknowledged risk of injury, and of all claims of negligence, arising as a result of such activity from which liability could accrue to the instructors, assistants and volunteer parents. I hereby agree to release instructors, assistants and volunteer parents and hold instructors, assistants and parent volunteers harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in this sport on behalf of the member. I am aware that this is a release of liability and acknowledgement of my voluntary and knowing assumption of risk of injury. I have signed this document voluntarily and of my own free will in exchange for this privilege of participation. If I am a minor, my parent and/or legal guardian has signed this document releasing instructors, assistants and volunteer parents from any and such liability described above and have acknowledged that I am knowingly and voluntarily assuming all risk of injury inherent to this sport. The above named student has my permission to participate in said sport (cheer/dance/stunting team/gymnastics) I have completely read and understand the above release information. I hereby authorize the sport instructors, assistants and volunteer parents to act on behalf to provide emergency medical treatment. I further release the instructors, assistants and volunteer parents of all liabilities associated with my child's attendance at competitions and/or special events and classes.
I've read the above and agree.
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General Rules
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I have visited Flipside's website at www.flipsidetoo.com, clicked the General Rules tab, reviewed and agree to abide by Flipside's General Rules.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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Zip:*
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