Neon Dance Party!
The Gate Youth Center
Parent/ Guardian Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child #1
*
First Name
Last Name
Grade:
*
5th Grade
6th Grade
7th Grade
8th Grade
Child #2
First Name
Last Name
Grade:
5th Grade
6th Grade
7th Grade
8th Grade
Child #3
First Name
Last Name
Grade:
5th Grade
6th Grade
7th Grade
8th Grade
Child #4
First Name
Last Name
Grade:
5th Grade
6th Grade
7th Grade
8th Grade
Child #5
First Name
Last Name
Grade:
5th Grade
6th Grade
7th Grade
8th Grade
Any dietary restrictions:
Payment
We do not require a payment of any amount to attend our dance! That means, it is FREE! However, we will accept donations to help fund decorations and snacks for the dance, either made in person or on Venmo @thegateyouthcenter, with the description: Neon Dance!
Drop Off & Pick Up
When dropped off, students will check in with our registration table! This helps us know who is attending the dance. To pick up your child, please come inside. This will help us ensure the safety of your kids as they dance the night away!
Finish
Should be Empty: