EVENING INFO

DATE: Friday, April 17th, 2026
TIMES: 7-10 PM (Drop Off begins at 6 PM and Pick Up ends at 10:30 PM)
LOCATION: Rough Hollow’s Highland Village, 901 Highlands Blvd, Lakeway, TX 78738
AGES: 3-14, must be potty-trained
ACTIVITIES: Silent Disco, Gaga Ball, hands-on craft, camp classics

Kidventure will not release a child to any parent or guardian believed to be intoxicated or in a state that would put themselves or others in danger. If the Kidventure team believes you cannot safely take your child home, the listed emergency contact or authorized pick-up person will be called to pick up your child instead. Please note that anyone picking up your child MUST have the provided pick-up number and/or be listed on your emergency contact/authorized pick-up list and provide a valid ID at the time of pick-up.

Kidventure PNO Registration

All children attending the Kidventure Kidzone must be registered by completing the form below. Please complete one form for each child. Children must be 3 years of age and potty trained through age 14.

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Child's Name *

First

Last

Gender *

• Male
• Female

Date of Birth *

Email *

Parent/Gardian Information

Parent/Gardian Name *

First

Last

Phone Number *

Primary Email *

2nd Parent/Gardian Name (Optional)

First

Last

Phone information the

2nd Phone Number

Alt Email

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Medical and Health Information

Any non-food and food allergies? *

• Yes
• No

Explain allergies.

Does your child have special needs? *

• Yes
• No

Explain special needs

Camper's limitations or conditions

Will your child take any medications during the event? *

• Yes
• No

If So Explain the Medication

Are you insured under a medical/accident/hospital plan? *

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Emergency Contact Name

First

Last

Emergency Contact Phone Number

Alt Pick Up Name

First

Last

Alt Pick Up Number

I confirm all the information on this form is still accurate. *

• Yes

Enviar

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