ATLU TKD • Atlanta's United Tae Kwon Do

Parents’ Night Out Registration Form

PRICING:

$20		(pre-registered)

$25		at the door

$15		sibling rate

$10		if you bring a non- ATLU TKD friend!

$40		maximum family rate

LATE FEES
$15 per child still in attendance at 9:15pm (pre-registered)

$1/minute each minute after 9:15pm

Fill out this form to reserve space for all children who will be in attendance:

Parent's Night Out Date:

Movie to be played: Rating:

List children:

Pricing:

Child 1 Name:

Child 2 Name:

Child 3 Name:

Child 4 Name:

Child 5 Name:

Child 6 Name:

Price subtotal:

(Payment accepted at the door)

Parent Name:
Date:
Email:
Comments:
By submitting this Registration Form, I hereby acknowledge both the movie to be played, and its rating, and give my permission for all children listed above to watch this movie.