Lilo & Stitch Movie Night

November 29 @ 5:30 pm - 9:30 pm

Parents Night Out for Ages 5 and Up!

Drop the kids off for a fun night of cheerleading, Lilo & Stitch, games and more!

First Child is $50+HST Additional Children $40+HST

Parent/Guardian Name *

First

Last

Email *

Your account will be created using this email address

Phone Number *

Home Address *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Child's Name (1) *

First

Last

Child's Date of Birth (1) *

Allergies or medical conditions? If so, what are they? (1) *

Medicare # and expiry date (1) *

Child's Name (2)

First

Last

Child's Date of Birth (2)

Allergies or medical conditions? If so, what are they? (2)

Medicare # and expiry date (2)

Child's Name (3)

First

Last

Child's Date of Birth (3)

Allergies or medical conditions? If so, what are they? (3)

Medicare # and expiry date (3)

I would like to pay via: *

Etransfer
Credit or debit

Once total amount received, registration is finalized. Etransfers can be sent to info@506eliteallstars.com password "506elite". For credit payments, we will email you to set up a call for payment! We will email you a confirmation at the address provided!

Event date(s) or name(s) registering for: *

Details

Date:: November 29
Time:: 5:30 pm - 9:30 pm