Middle School Hangout Registration

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Student's Name(s)(Required)

Click + on the right to add multiple students

First Name

Last Name

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Are there any dietary restrictions?(Required)

Please enter N/A if Not Applicable

Middle School Hangout Ticket(s) (Required)

Price: $10.00

Convenience Fee(Required)

Price: $0.00

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Community