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K - 4 Movie Night - Zootopia 2

Location: PACE Cafeteria

Date: Friday, January 16, 2026

Cost: $5

Movie: Zootopia 2

Join us for our 2nd Movie Night of the school year. Movie Night is open to all Kindergarten - 4th grade girls and boys. The movies will be monitored by PACE staff memebers. 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 date to participate in movie night activities.

Register up to 5 children. Remember movie goers must be in grades K - 4 ONLY.
Registration and payments must be made in advance. No walk ups allowed.
Registration will close on Wednesday, January 14th.
All payments are final, no refunds.

CHILD #1

Student's Last Name*

Answer required for "Student's Last Name"

Student's First Name*

Answer required for "Student's First Name"

Select this child's teacher & grade*

Answer required for "Select this child's teacher & grade"

CHILD #2

Student's Last Name

Answer required for "Student's Last Name"

Student's First Name

Answer required for "Student's First Name"

Select this child's teacher & grade

Answer required for "Select this child's teacher & grade"

CHILD #3

Student's Last Name

Answer required for "Student's Last Name"

Student's First Name

Answer required for "Student's First Name"

Select this child's teacher & grade

Answer required for "Select this child's teacher & grade"

CHILD #4

Student's Last Name

Answer required for "Student's Last Name"

Student's First Name

Answer required for "Student's First Name"

Select this child's teacher & grade

Answer required for "Select this child's teacher & grade"

CHILD #5

Student's Last Name

Answer required for "Student's Last Name"

Select this child's teacher & grade

Answer required for "Select this child's teacher & grade"

Student's First Name

Answer required for "Student's First Name"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Parent/Guardian Phone Number*

Number Required

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Email*

Answer required for "Emergency Contact Email"

Emergency Contact Phone Number*

Number Required

Important medical information that we should know

Answer required for "Important medical information that we should know"

Answer required for " "

I am the Parent or Legal Guardian of the student(s) named in this form, and give my permission for them 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 *

Answer required for "Confirmation Email"