Parents Night Out

PARENTS: PLEASE FILL OUT A FORM FOR EACH CHILD, SO WE CAN HAVE COMPLETE INFORMATION FOR EACH ONE ATTENDING. Also, please note the change: each child needs to bring a packed supper for the night, including a sealed drink (i.e. Caprisun, bottled water, etc.). We will not be providing a meal or drinks. Please remember that only children between 5 weeks old and 5th grade are eligible to participate. Thanks!

Child's Full Name

Child's Age

Child's Grade in School
NurseryPre-KK1st2nd3rd4th5th

Allergies?

Parent's Name

Parent's Email

Parent's Contact Phone