PLAYGROUND at The Point
Registration Form
Parent's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Child's Name
First Name
Last Name
Child's Age
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Registration Fee
You will need to fill out a registration form for each child.
$
50.00
Credit Card
Submit
Should be Empty: