Westside Kids' Night Out
Registration Info Needed for Kids' Night Out Events
Email address *
Kids' Night Date registering for *
Number of Children *
Child(ren)'s Name(s) and Age(s): must be 3yrs+ and potty trained *
Your answer
Dietary restrictions *
Medical ALERT if any *
Would you like your child(ren) transferred directly from Super C to the Westside Gym for this event? *
Parent(s)' Name(s) *
Your answer
Cell phone(s) Numbers *
Your answer
Indicate ONLY IF NOT a WESTSIDE STUDENT: Name of student you are coming with
Your answer
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