NIBA STEM

Registering for

Lights Out Game Night October 16^th - Evening

Friday - 6:00 PM to 8:00 PM

Oct. 16, 2026 – Oct. 16, 2026

The Edgemont Office, North Vancouver

Customer Information

First Name *

Last Name *

Email *

Phone *

Child Information

Child's First Name

Child's Last Name

Date of Birth

Relationship to Child

Allergy / Medical Notes (optional)

I am the legal parent/guardian of this child and have authority to register them for this program.

Payment

Early Bird 15%

Price After Discount: ~~$49.99~~ $42.49 + tax

Early Bird - Until the end of September

Final Price Total: $42.49 + tax

Coupon Code (optional)

Payment Plan

Pay in Full — $42.49 + tax

You will be redirected to our secure checkout to complete payment after reviewing your registration.

Agreements

I have read and agree to the Terms and Conditions.

I acknowledge that I have read the Privacy Policy and understand how my personal information is collected, used, and protected.

By registering, I understand that NIBA STEM may contact me about this registration, including scheduling, payments, cancellations, and other service-related updates.

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Lights Out Game Night October 16th - Evening

Lights Out Game Night October 16^th - Evening