Form Entry

Hazleton At The Movies Build Sign Up

First Name

Last Name

Mobile Phone

Are you over 18 Years Old?

Select the Dates Available

Sunday June 18 (afternoon session only) Monday June 19 Tuesday June 20 (kidCare available in evening session) Wednesday June 21 Thursday June 22

Times Available

9am-12pm 2pm-5pm 6pm-9pm

Names and Ages of Those Coming (Middle School Students Must Be With A Parent at All Times, those younger can come Tuesday June 20 at the 6pm session with provided kidCare)

Special Skills or Talent

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