IMPORTANT: Please read the agreement below and fill out the info below to register your child(ren) for the Parent Night Out Event. Payment must be received BEFORE the event to confirm your spot. Google checkout will be made available to you after filling out this registration form. If you do not choose to use Google Checkout, a payment of cash or check is required within 24 hours to reserve your spot. Waitlists are managed on a first come, first serve basis.
PNO Date*
Select OneGlow in the Dark Laser Tag PNO July 17th 5-9 pm
Your Name (Guardian)*
Your Telephone Number*
Email Address*
Attendee Names and Ages*
Board Breaking*
I Will Allow Atttendees to Break a BoardI Won't Allow Attendees to Break a Board
Other Info
Is used for registration for this PNO event only. We do not use your contact information for future solicitation nor do we sell your information to third parties. Your contact information is kept confidential. If you want us to notify you of any future PNO (Parent Night Out) events, please indicate below.
Do you want us to contact you on future PNO events?*
Yes, please notify me of future PNO eventsNo, do not notify me of future PNO events
I, the designated parent or person having legal custody/guardianship of the minors shown above, or for myself, give permission for these minors to participate in all activities as described in the announcement for the program event. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the program. I will not hold AK Martial Arts and Fitness, it's instructors, employees or other attending guests liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others excepting, damage or injury soley caused by the willful misconduct of negligence of Ak Martial Arts and Fitness or it's employees or agents. Photography Media might be utilized during the event and I acknowledge that AK Martial Arts has full rights and ownership to said media which will or can be used to market similar events for AK Martial Arts and Fitness only. I, the undersigned parent or person having legal custody/guardianship of the minors shown above acknowledge that there is no existing medical condition, food allergy and/or other condition of importance that is not listed above in "Other Info" that will prohibit the mentioned minors above to participate in activities listed in the events announcement. I also acknowledge that all minors must be over the age of 5. I understand by clicking on the submit button below that I agree to the policies and have filled out this registration form accurately and to the best of my knowledge.
I understand that this is a fund-raising event and that a credit card payment is required in full to reserve spot(s). If I decide to cancel, I understand that I will not receive a refund and my credit card will be charged UNLESS AK Martial Arts and Fitness can find someone to take my spot(s), in which case, I will receive a full refund.
Authorization*
I agree to the terms and conditions listed on this websiteI do not agree and will not attend the eventThird option