Registration

*IF YOU ARE ALREADY AN EBG MEMBER, YOU CAN LOG IN USING YOUR EMAIL, NO NEED TO CREATE A NEW ACCOUNT* *** Phantom Pumpkin Fest: A Hauntingly Good Time*** Pumpkin Patch 9-4pm Haunted House 6-9pm *EARLY BIRD PRICING: * $5 - Haunted House $8 - Pumpkin patch, free small pumpkin, 1 hour jumpy house $12 - Pumpkin patch, free medium sized pumpkin, unlimited jumpy house $ 16 - Everything (pumpkin patch, free big pumpkin, jumpy house & haunted house) *DAY OF EVENT PRICING* $3 - 1 hour jumpy house $8 - haunted house $12 - pumpkin patch, free small pumpkin, 1 hour jumpy house $15 - pumpkin patch, free medium pumpkin, unlimited jumpy house $20 - pumpkin patch, free big pumpkin, jumpy house & haunted house (*Online Registration for all East Bay Gymnastics Special Events are set to the "Regular Pricing" rate. Customer Service will automatically adjust fees accordingly after registration after all questions/options answered*)
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:
Pumpkin Patch?*
Jumpy House? (If yes, please make sure to check either 1 hour or unlimited Jumpy House, otherwise, you will be charged unlimited Jumpy House)*
1 hour of Jumpy House? (checked=yes)
Unlimited Jumpy House? (checked=yes)
Haunted House?*
 
Additional Information:
 
Multiple Students
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I've read the above and agree.
 
Release of Liability
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I've read the above and agree.
 
Assumption of Risk
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I've read the above and agree.
 
Medical Emergency
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I've read the above and agree.
 
Marketing Release
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I've read the above and agree.
 
Payment Information
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I've read the above and agree.
 
Refund Policy
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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:*