Forms Kids


Whether you want to go on a date with your spouse or are you a single parent who wants an evening to yourself or with friends, this is for you! Let us take the kids for the evening! 

Date: Friday, March 7
Cost: $10 per child (up to $30 per family) \\ Pizza dinner included
Time: 5:30pm - 8:00pm
Where: Drop off and pick up at the Kids Area at Central Heights

Register online using the form below. Registration deadline is Wednesday, March 5

 

*Denotes Required Field
(  ) -

Emergency Contact

If parents cannot be reached.

(  ) -

CHILD #1

Child #2

Child #3

Child #4

PAYMENT/REGISTRATION INFO (PLEASE READ):

*

To complete your registration, you will be taken to our payment page.

Each child will cost $10 for the whole evening (maximum of $30 per family - includes dinner) 

You will need to enter the appropriate amount on the next screen. On the payment screen you will also need to fill out your billing information. You may want to take the time to set up an account on the next screen to save you time in the future.