Friday Frolic Registration Form

Note: Your registration is not complete until we receive payment in full.

Please mail payments to:
Post Office Box 1656
Middletown, Ohio 45042

Or call us with your credit card information
 

Please complete all fields

Please Select Frolic Date(s)	Oct. 3rd Oct. 24th Nov. 7th Nov. 28th Jan. 9th Jan. 23rd Mar. 6th Mar. 20th Apr. 3rd Apr. 17th
Parent Name
Child Name
Address
City
State
Zip
Home Phone
Parent Cell Phone
Parent Email
Emegency Contact Name
Emergency Contact Phone
Food or Other Allergies
Child Age
Child Grade
Please Select Payment Method	Cedit Card (Please Call) Check Money Order
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