Parents Night Out

PARENT'S NIGHT OUT I JULY 30 I 6-8:30PM

We are hosting Parent's Night Out in an effort to encourage and foster healthy, loving marriages!

Children ages 4-12 will have a great time playing games, doing crafts, watching movies and having fun, while the parents enjoy a night out!

*All kids must be registered in order to participate.*

Kids Registration

* Indicates required field

Parents Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Additional Phone Number *

Email *

Emergency Contact Name *

Emergency Contact Number *

Child Name *

First

Last

Age *

Allergies (if none please put N/A) *

Child #2 *

Age *

Allergies (If none please put N/A) *

Child #3 *

Age *

Allergies (If none please put N/A) *

Child #4 *

Age *

Allergies (If none please put N/A) *

Submit