2020 Pizza Movie Night Registration
Please Note: This event is limited to the first 200 Memorial students to register. There will be only one session from 6pm-8pm.

REGISTRATION AND PAYMENT MUST BE MADE IN ADVANCE, no admittance at the door without prior registration) $10 per child. Registration will close on Wednesday, February 5, 2020.
Pizza, fruit snacks, water and juice will be served.

PLEASE NOTE: NO EARLY DROP-OFFS.

MEMORIAL STUDENTS ONLY PLEASE!
Student(s) Last Name *
Your answer
Student First Name 1 *
Your answer
Student 2 First Name
Your answer
Student 3 First Name
Your answer
Parent/Guardian Name *
Your answer
Phone number to be reached at the night of the event *
Your answer
Parent/Guardian email *
Your answer
Are you able to volunteer at Pizza Movie Night? *
Do you give permission for your child to be dismissed from an afterschool program? *
Do you give permission for your child to eat all food served at the event? *
If you select NO to child having permission to eat at event, you will be contacted to make arrangements for your child.
Payment to be Submitted: $10/student. Memorial Students Only *
Required
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