Family Fun Night March 25, 2019April 18, 2019 Registration Deadline Extended until April 22! Family Name*Chaperone's Name*BSC staff will lead all activities but care-givers must remain at the complex at all times. ** No limit to the number of chaperone's per child; only one name needed on the registration form** Chaperone's Email Address* Chaperone's Phone #LCS Student Name*Please list your oldest LCS Student's Name hereStudent's GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeStudent's TeacherDo you have additional children that will be attending with you?YesNoChild #2 NameChild #3 NameChild #4 NameFamily Fun Night Policy Acknowldgement*No unaccompanied children are allowed at the event; all children must be accompanied by a care-giver. There will be no nurse on duty. Children who require rescue medications such as epi-pens must provide their own and bring to the event. NO food or discount arcade cards can be bought at the event, everything has to be pre-ordered I have read and understood PAYMENTChildren ages 3+ = $28 which includes: chips, pizza, drinks and all activities. Adults & Children under 3 = FREE Optional Add-ons: *Children under 3 and Adults: $8 for a food package *$5 value arcade card for only $4 There is a processing fee if paying via Paypal.How are you paying for the event?** Payment via check still requires an online RSVP. The check must be made out to "LCS PT"O and sent into the school by April 19 to complete purchase. NO EXCEPTIONS. *Check Payments should be sent into the PTO mailbox in the main office. Payments should be submitted in a sealed envelope with "Family Fun Night - students first & last name" clearly printed on the outside. PayPalCheckChildren's Ticket (age 3+)*Children 3+ = $28 which includes: chips, pizza, drinks and all activities. Price: $28.00 Quantity: Meal Package (Adults and Children under 3)Pizza, chips & drinks Price: $8.00 Quantity: Arcade Card$5 value per card, no limit on amount purchased. Price: $4.00 Quantity: Children's Ticket (includes PayPal fee, ages 3+)*Children 3+ = $28 which includes: chips, pizza, drinks and all activities. Price: $28.94 Quantity: Total $0.00 Meal Package (Adults and Children under 3, PayPal fee included)Pizza, drinks, chips Price: $8.49 Quantity: Arcade Card (PayPal fee included)$5 value per card, no limit to how many purchased Price: $4.40 Quantity: Total $0.00 EmailThis field is for validation purposes and should be left unchanged.