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Parents Night Out
Please fill out this form before attending
Prices:
Member: $20
Non-Member:$25
Pizza: $5
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* Indicates required question
Parent or Guardian Name
Your answer
Member- Non-Member
*
Member
Non-Member
Will you add Pizza and a Beverage for $5 Dollars
*
Yes Pizza
No Pizza
How many kids are attending?
*
1
2
3
4
Do any participants have any allergies or dietary restrictions?
Your answer
Emergency Contact Name and Number
Your answer
What is your email address?
Your answer
How will you be paying?
Venmo @Phoenix-Karate OR (Pay at the door QR Code)
Cash (Pay at the door)
Clear selection
Additional Comments *optional
Your answer
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