Kids Fun Night / Parents Night Out - Agape Black Belt Center

Costume Fun Party

Parents, enjoy an evening out knowing that your children are having a blast at ABBC!

On Saturday, February 14, ABBC will be hosting Parents Night Out! Drop off your children and they can have a night full of exciting games and activities, pizza, and friends while you can enjoy an evening for yourselves! This event is open to all ABBC members and extended friends and family– invite your neighbors, cousins, and friends to join you!

Spots are limited! If you need any assistance with payment or registration, please contact us!

mrsra.abbc@gmail.com

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Child Information

Child Name *

Birthday *

Age *

Allergies *

Parent/Guardian Information

Parent/ Guardian's Name *

Relation *

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Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

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Emergency Contact Information

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Event Information

Which Event? *

A night full of exciting games and activities, pizza, and friends.Sat, 2/14/2026 5-8pm $20

Waiver I hereby voluntarily submit my application for my attendance and participation to Agape Black Belt Center, LLC and hereby assume all responsibilities for any and all damages, injuries or losses I may sustain or incur while attending and participating. I hereby release and waive all claims against the sponsors, promoters, organizers, operators, host, instructors, associations, schools, owners, officers, directors, employees and other participants connected with Agape Black Belt Center, LLC individually or otherwise. I fully understand that in case of injury the only medical treatment provided will be first aid. I understand that I must strictly obey instructors and observe safety rules. I further agree that any photography and video taping of me in connection with Agape Black Belt Center, LLC can be used for publication, promotion, articles, and advertisements without additional consent and without compensation at this time or any other time. I understand that all registration fees are non-refundable.

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Yes

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