Thursday, May 23 • 5:30 – 7:00 PM

Parent Information

Parent #1 Name*

Email*

Phone Number*

Parent #2 Name (if applicable) or second accompanying adult

Address*

Registration*

Child Name*

Date of Birth*

Terms & Conditions*

I understand a photo/video of me and/or my child may be taken and may be used in marketing materials or on a website.

I have read and agree to the terms above.

Name*

Email*