Impact Kids Night Out - Saturday 12/3
Sign up to send your child(ren) to a night of fun at Impact Martial Arts.  Use the time to get ahead on your holiday shopping or do something fun!

Date: Saturday, December 3rd
Location: Impact Martial Arts 
Time: 4-8pm
What's included? Pizza, water and fun

Cost:
$20 first child
$15 second child
$10 third child or more*
*To register more than 2 children, please submit a second survey.

All proceeds go to the GRES Foundation!
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Email *
Parent First and Last Name *
Parent Phone Number
Child 1 - Name
*
Child 1 Grade
*
Child 2 - Name (if applicable)
Child 2 Grade (if applicable)
Child 3 - Name (if applicable)
Child 3 Grade (if applicable)
Allergies?
Emergency Contact Name (other than parent) *
Emergency Contact Phone Number (other than parent) *
Preferred Payment Method *
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