North Pole Academy Registration

Monday, December 22nd

9:30 AM–12:30 PM

Please complete the registration form below. Your child's spot is not reserved until payment is completed.

For children ages 5–12

$35 per child

Parent First/Last Name

Phone

How many children are you registering?

Child 1 – First & Last Name + Age

Child 2 – First & Last Name + Age

Child 3– First & Last Name + Age

Child 1 – First & Last Name + Age

Allergies, medical needs, or other important information we should know: (Enter “None” if applicable.)

Emergency Contact Name & Phone Number * Description: Please provide someone other than the parent/guardian listed above.

Authorized Pickup- Who is authorized to pick up your child(ren)? *

Photo Permission- Pulse Parties may use photos/videos from this event for social media or promotional purposes.

I understand.

Drop-Off Agreement-I understand this is a drop-off event and agree to remain reachable by phone during the event and arrange prompt pickup if contacted.

I understand and agree.

Liability / Activity Acknowledgment-I understand that games and activities may involve physical movement and ordinary risks such as slips, falls, bumps, or collisions. I give permission for my child(ren) to participate.

I understand and agree.

$35 per child

Registration is not complete and spots are not reserved until payment is received.