Movie Night 11/14/2025

Forms and Payment are due by 11/7/2025

Tickets are mandatory to attend. Names will be checked at the door. Ticket price includes 1 slice of pizza, 1 juice, and 1 snack. There is a cash pay snack bar that will also be available and selling additional snacks (e.g., candy, popcorn, drinks).
Only Mickey Cox Students are allowed to attend.
Kindergarten is allowed to attend if a parent stays with the student for the entire movie event.
Students are allowed to wear pajamas and bring a sleeping bag/blanket/pillow to sit on.
No refunds can be given.

Student First name

Student Last name

Please write the names of any additional students that are attending in your household. Be sure to change the quantity for tickets below. EACH STUDENT WILL NEED A TICKET TO ATTEND

Adult's Name

Adult's Phone Number

Adult's Email

Select # of tickets

Movie Night Ticket$10

I, as the legal representative of the student listed above, I acknowledge that this movie is rated PG. By checking this box, I acknowledge and agree that I have reviewed the movie content through a parental guide and give permission for my student to view the movie.