Parent's Night Out Registration Form

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Friday, May 6th
Babies - 5th grade

5p drop-off
8:30p pick-up

Pizza will be served. Please provide an alternate dinner for your child if you choose.

**Space is limited. Registering here does not guarantee at spot for your child. You will be contacted by the Preschool & Children's Director when your child's spot is secured! **

Email *

Parent Name and Phone Number *

Child #1 Name, Age, Grade *

Child #2 Name, Age, Grade

Child #3 Name, Age, Grade

Child #4 Name, Age, Grade

Child #5 Name, Age, Grade

Please list and allergy information or special needs your children may have.

A copy of your responses will be emailed to the address you provided.

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