Splatter Room Registration

Parent/ Caregiver Name(Required)

First Last

Phone(Required)

Email(Required)

Child(ren)'s Information(Required)

First Name

Last Name

Grade

Emergency Contact Information(Required)

Full Name

Phone Number

Email

Please include any allergy and/or medication information below(Required)

Please enter N/A if not applicable

Mandatory Waiver & Release

Please fill out our mandatory waiver & release form here!

Splatter Room Tickets (Required)

Includes 3% Online Processing Fee

Price: $41.20

Total