March PNO_Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

When: Friday, March 24th from 5:30-9:30pm

Where: Time to Shine Studio 5751 Kroger Drive Fort Worth, TX 76244

Who: Kids Ages 3-13 Years (must be potty-trained)

Provided: Dinner, Drink, Treat and a Tons of Fun Activities for Kids

Pre-Registration Cost: $30 per child if register prior to NOON on March 24th *Sibling Discount of $10*
Walk In Cost: $35 per child

PAY AT THE DOOR: Cash, Credit Card or Check (made payable to Time to Shine Performing Arts)

Student First & Last Name
*

Student Age
*

3 Years

4 Years

5 Years

6 Years

7 Years

8 Years

9 Years

10 Years

11 Years

12 Years

13 Years

Any Medical Information We Need to Be Aware Of... (Example: Food Allergies)
*

Parent(s) First & Last Name
*

Parent Phone #
*

Parent Email Address
*

Emergency Contact First & Last Name
*

Emergency Contact Phone #
*

How did you hear about our event?
*

Time to Shine Student

Facebook

Friend/Neighbor

Other:

Time To Shine Release of Liability

Release of Liability Signature (by typing in your name below you are agreeing to the Release of Liability Statement)
*

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Time to Shine Performing Arts. Report Abuse

Forms