Flips 4 All Movie Night Registration
THIS FORM IS NOT A FLIPS 4 ALL WAIVER, AND IS FOR REGISTRATION PURPOSES ONLY. PLEASE SIGN IN YOUR CHILD(REN) ON THE IN-PERSON WAIVER UPON ARRIVAL.

- 5:30pm-9:30pm. Doors are closed and locked from 7:30pm-9:20pm.
- Pizza and juice are provided after open gym, before the movie.
- Payment is collected the day-of. No pre-payment will be accepted.
- First child is $25. $15 for every additional child.
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ATTENTION!
PLEASE NOTE that Extended Open Gym & Movie Night is for children ages 5 and older ONLY. Children younger than 5 are welcome at open gym until 7:30pm, but will not be permitted to stay for the movie.

THANK YOU!
First & Last Name of Child(ren) *
Age of Child(ren) *
Movie Month (Office Purposes) *
Full Name of Parent/ Guardian *
Parent/ Guardian Phone Number *
Parent/ Guardian Primary Email Address *
Thank You!
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