Your Name *

First Name

Last Name

Date Of Birth *

MM

DD

YYYY

Your Phone Number

(###)

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Parent/Guardian Phone *

(###)

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Summer Sizzler Event *

Which Of The Following Event(s) Are You Planning To Attend? (Select All That Apply)

Episode 1: Mini Golf - $2

Episode 2: Level Up Night - Free

Episode 3: Digital Blitz - Free

Episode 4: Summerween - $5

Episode 5: Snap, Crackle, Pop! - Free

Episode 6: Volleyball - $2

Episode 7: Ice Skating - $7

Episode 8: Christmas In July - $5

Episode 9: Wet & Wild Night - Free

Episode 10: Pizza Blast! - Free