Middle School SKY ZONE Nov. 15 4:00pm

Student Name

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Have you completed the 26/27 OPC Permission Form

Yes No

Did you complete the SKY ZONE waiver?

Yes NO

Payment $20.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Nov. 15 4:00pm-6:30pm

Please complete this form for you child to join us at Sky Zone. Visit ojaipc.org to sign the current OPC permission form.