Parent’s Day Out – December 14, 2024

It’s a PRE-CHRISTMAS break, brought to you by Freedom Church Children’s Ministries. Registration is required, so use the form below to register your family for this opportunity.

Here’s the scoop:

Cost: FREE (donations for children’s activities are appreciated)

Children: Age 0 through 5th grade

Any allergies or medical needs, please answer with details on the registration. Thanks.

Please enable JavaScript in your browser to complete this form.

Child Information

Parent's Day Out is open to all children 0 to 5th grade. Age appropriate activities and supervision will be provided by qualified staff and volunteers.

Number of ChildrenOneTwoThreeFourFiveSix

Please List Child(ren)'s Names & Ages

Parent/Guardian Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Emergency Contact

Name *

First

Last

Phone *

Medical Concerns & Allergy Information (Please give complete details)

Submit