Fusion: Kids Night In! Parent Night Out!

Your Name (Lastname, FirstName) (required)

Your Email (required)

Yes, I want to be on the Fusion Email list
—Please choose an option—YesNo

Adults (18+) Name(s)

Middle & High School Age (grades 6-12) Name(s) and Grade(s)

Elementary School Age (grades 1-5) Name(s) and Grade(s)

Pre-K (3yrs - KG) Name(s) and Age(s)

Nursery (Birth - 3yrs) Name(s) and Age(s)

Dietary Needs/Allergies

Is anyone in your party able to assist with childcare or game room supervision?

Nursery: Quiet Play- reading, coloring, playing with toys (birth to age 3)
—Please choose an option—YesNo

Activity Room: Engaging play- four square, Ninja, Night at the Museum, etc. (age 4 to Grade 2)
—Please choose an option—YesNo

Game Room (3rd grade and up) board games, card games, foosball , air hockey, Nintendo Switch
—Please choose an option—YesNo