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K - 4 Movie Nights

Location: PACE Gym

Date: Multiple Dates:

April 25th - Dog Man
May 16th - A Minecraft Movie

Cost: $5/movie night. You can pay for one session or both sessions.

We are celebrating our 25th Anniversary this year. All proceeds from this fundraiser will benefit our 25th Anniversary family celebration later this year.

We will host two movie nights for kindergarten - 4th grade girls and boys. The movies will be monitored by PACE staff memebers. Students will have an opportunity to a showing of a movie that is currently in theaters. There will be refreshements for sale, i.e. popcorn, chips, drinks, etc.

We require that students have parental permission to participate in our movie nigths, for that reason students must be registered to participate. This form serves as your child's registration and permisson form. In completing this form, you give permission for your child to remain after school on the selected dates to participate in movie night activities.

No walk ups allowed.

All payments are final, no refunds.

Student Last Name*

Answer Required

Student First Name*

Answer Required

Student's Grade

Answer Required

Student's Homeroom Teacher

Answer Required

Parent/Guardian First Name*

Answer Required

Parent/Guardian Last Name*

Answer Required

Parent/Guardian Email Address*

Answer Required

Parent/Guardian Phone Number*

Number Required

Emergency Contact Name*

Answer Required

Emergency Contact Email*

Answer Required

Emergency Contact Phone Number*

Number Required

Important medical information that we should know

Answer Required

Movie Night Selections

Please select the dates that you give permission for your child to participate in Open Gym.

Answer Required

April 25th - "Dog Man"

May 16th - "A Minecraft Movie"

Answer Required

I am the Parent or Legal Guardian of the student named and give permission to participate in this school event.

Quantity

Movie Night Fee*

Please pay for each date that you are giving permission for your child to participate.

Price: $5.00

Confirmation Email

Confirmation Email *

Email Required