Celebration Youth Corn Maze

Come join us youth on October 16th from 4:30- 5:30pm for a fun hang out at Picha’s corn maze. Find all 8 questions and answer them to beat the maze and win a pumpkin.

Parents Name

First NameLast Name

Contact Number

Format: (000) 000-0000.

E-mail

example@example.com

Youth Registration (You may register up to 5 students at a time)

Student Registration

$10.00 Quantity
Item subtotal:

Total

Credit Card (LEAVE BLANK IF PAYING BY CASH AT THE DOOR, PLEASE SELECT THAT OPTION BELOW)

Payment Method

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Child #1 First and Last Name

Child #2 First and Last Name

Child #3 First and Last Name

Child #4 First and Last Name

Child #5 First and Last Name

I understand that I need a 2026 Medical Release form on file for this event. If I do not have one, I will bring one with me. (it will be attached to the confirmation email sent with this registration form)

Celebration Youth Corn Maze

Youth Registration (You may register up to 5 students at a time)*

Credit Card (LEAVE BLANK IF PAYING BY CASH AT THE DOOR, PLEASE SELECT THAT OPTION BELOW)

Youth Registration (You may register up to 5 students at a time)