Movie Registration

To register for the Family Movie Event to be held on Saturday, April 28, please complete and submit this registration form. Pre-registration is required. Registration deadline is Sunday, April 22.

Event details:
Family Movie Event
Saturday, April 28, Movie starts at 10 am
“Horton Hears A Who” (a sensory-friendly movie)
East Park Cinema, 220 N. 66th St., Lincoln

Who will be attending this event from your family?

Total number of adults*

Total number of children*

Parent Info:

Parent's first name*

Parent's last name*

Parent's phone number*

Parent's e-mail*

Child(ren) Info:

Child #1 / first name

Child #1 / last name

Child #1 / Age

Child #1 has special needs.

Child #2 / first name

Child #2 / last name

Child #2 / Age

Child #2 has special needs.

Child #3 / first name

Child #3 / last name

Child #3 / Age

Child #3 has special needs.

Child #4 / first name

Child #4 / last name

Child #4 / Age

Child #4 has special needs.

Child #5 / first name

Child #5 / last name

Child #5 / Age

Child #5 has special needs.

Child #6 / first name

Child #6 / last name

Child #6 / Age

Child #6 has special needs.

Child #7 / first name

Child #7 / last name

Child #7 / Age

Child #7 has special needs.

Child #8 / first name

Child #8 / last name

Child #8 / Age

Child #8 has special needs.