Registration
IF YOUR CHILD HAS EVER BEEN IN CLASSES OR HAS ATTENDED A PARENT'S NIGHT OUT, PLEASE CLICK ON THE LINK ABOVE "ALREADY A CUSTOMER? CLICK HERE TO LOGIN." SEPARATE REGISTRATION FORMS ARE REQUIRED FOR DIFFERENT FAMILIES. Drop your kids off for a half-day full of fun! We will do crafts, activities, games, open gym play and more! We will also take care of lunch (provided)! Please send your child with a labeled water bottle.
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:
Does your child have any food or other allergies that we should be aware of?*
Would your child like cheese or pepperoni pizza for lunch?*
 
Additional Information:
 
Right of Removal:
  (Show-Hide Details)
I've read the above and agree.
 
Authorization of Likeness Rights:
  (Show-Hide Details)
I've read the above and agree.
 
Authorization of Medical Care:
  (Show-Hide Details)
I've read the above and agree.
 
Liability Waiver and Indemnity Agreement:
  (Show-Hide Details)
I've read the above and agree.
 
No Show or Missed Event Refund Policy:
  (Show-Hide Details)
I've read the above and agree.
 
Late Pick Up Policy:
  (Show-Hide Details)
I've read the above and agree.
 
Water Bottles and Hydration Safety:
  (Show-Hide Details)
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:*