STEP 2:  OTHER INFO (please fill out completely)

How did you hear about us? (please select one)

Recommended by a friend or neighbor.
Invited to a C-Zone birthday party.
Postcard
Advertisement
  Other 

Child's first and last name:

(You will be able to register additional kids on the next screen.  We will automatically
apply relevant sibling discounts for members.)

Does your child have any allergies?  Yes    No 
If yes, please describe:

Parent's first and last name: 

Email 

Phone
                (xxx) xxx-xxxx

Address:  

Notes:  

  I have read and understand the Class & Registration Policies and agree to abide by them.
(We cannot process your registration until you have completed this step.)
 

Have you already filled out a Family Membership Form?    yes    no

If no, please download the appropriate form from our download page and mail or fax it in.

Would you like to be added to our mailing list?    yes    no

STEP 4:  PAYMENT

  Please use the credit card you have on file and send me an email confirmation.

  Please call me with the total and I will give you a credit card number over the phone, or I will mail you a check.  I understand that my registration will not be complete until the C-Zone receives full payment, and that you are not holding a spot for me until that time.