“Kids Night Out”
Hosted by Pace University Student-Athletes To all boys and girls ages 6-12 welcome!
Price:
Time: Date TBA
Where: Goldstein
Fitness Center
Pace University-Pleasantville Campus
Please complete and return form below to register.
Refreshments and snacks will be provided.
-----------------------------------------------------------------------------------------------------
REGISTRATION FORM FOR KIDS NIGHT OUT:
Please make checks payable to Pace University
Athletics.
Please make checks payable to .
Parent/Guardian Name:__________________________
Child’s Name:___________________________________ Age:_______
Child’s Name:___________________________________ Age:_______
Child’s Name:___________________________________ Age:_______
Address:_______________________________________________________________________________
City, ST________________________________Zip:_____________
Phone(H):________________________
Email Address:
In case of emergency notify:____________________________Relation:________________Phone:________________
Medical conditions the program should be aware of:______________________________________________________
Pace University Athletics-KNO
861 Bedford Rd.
Goldstein Fitness Center
Pleasantville, NY 10570
