KidQuest at Ready, Set, KIDS! Registration Form

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For which Quest would you like to register? *

Escape from Spooky Mansion - Halloween - 1-day Adventure - 1:00-2:30pm - 10/31/15 - $25

Escape from Spooky Mansion - Halloween - 1-day Adventure - 3:00-4:30pm - 10/31/15 - $25

Escape from Spooky Mansion -Halloween - 1-day Adventure - 5:00-6:30pm - 10/31/15 - $25

KidQuest Fall II Session: Hunt for the Hidden Treasure: Thursdays - 5 weeks - 3:30-4:30pm - Nov 12-Dec 17- $125/child

Family Information

Parent(s) Full Name *

Parent Phone Number *

what is the best number to reach you?

Alternate or Emergency Phone Number *

if other than youreslf, please include name and relationship

Parent Email

Home Address *

street, city, state, zip

Child Name *

Child's Date of Birth *

Child (2) Name

Child (2) Date of Birth

Have your children participated in a Quest before?

Yes

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Please provide a brief description of your child(ren).

personality traits, special interests, or anything that might be helpful for a leader to know

Does your child have any allergies, dietary restrictions or medical needs?

Payment Information

Credit card or personal check are accepted. Make checks payable to: Yak Academy, and mail to: Ready, Set, KIDS, 284 Broadway, Arlington, MA 02474, or bring to your first class.

Name on Credit Card

Card Number - Visa or Mastercard accepted

xxxx-xxxx-xxxx-xxxx

Expiration Date

xx/xx

By checking here I give permission to charge my card for the amount of the Quest registered for above. Payments will appear on your bill as Yak Academy/Ready, Set, KIDS.

Today's Date *

YYYY

Submit

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