Registration
Parents Night Out / Kids Fun Night - Games (Dodge "Foam" Ball, Messy Backyard, Hide & Seek) Trampoline, Foam Pit, Rope Swing, Pizza Party, Snack, Movie & more! Register online now to reserve your spot! $35.00 per child when registering online before the event. $40 per event at the door. If you register and do not let us know at least 24 hours before, no refund will be given.
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
 
Additional Information:
 
LIABILITY RELEASE, ACKNOWLEDGMENT, AND WAIVER:
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I've read the above and agree.
 
PAYMENT 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:*