Child #1 *

First Name

Last Name

Age

6-7

8-9

10-11

12-13

14+

Child #2

Enter Family Discount Code E5EXNV8 at checkout

First Name

Last Name

Age

6-7

8-9

10-11

12-13

14+

Child 3

First Name

Last Name

Age

6-7

8-9

10-11

12-13

14+

Parent/Guardian Name *

First Name

Last Name

Primary Phone *

(###)

###

####

Accompanying Adult

Let us know if someone other than the parent will be attending

First Name

Last Name

Emergency Contact *

In the event that the child, parent, guardian or accompanying adult needs assistance.

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Payment Plan *

Reigstration is not confirmed until a deposit or full payment has been received or a payment plan has been set up.

I will pay the deposit of $25 now to secure my child's registration

I will make full payment now to secure my child's registration

I will contact the office to set up a payment plan