Editing previous response:

Please fix the highlighted areas below before submitting.

K - 4 Movie Night - Coyote vs. ACME

Location: PACE Cafeteria

Date: Friday, September 18, 2026

Cost: $5

Movie: Coyote vs. ACME

Join us for our 1st Movie Party of the 2026/27 school year. Movie Night is open to all PACE Academy Kindergarten - 4th grade girls and boys. The movies will be monitored by PACE staff memebers. We will have refreshements for sale, i.e. popcorn, chips, candy and 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 party 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 day of/walk ups allowed.
Registration will close on Wednesday, Sept. 16th.
All payments are final, NO REFUNDS.
Children MUST be picked up promptly at 5:30PM

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 Party 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"