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Parent's Night Out Registration
February 10th | 5 - 8:30PM
$15 per child, 4th child & up is free
Neuse Baptist Church | Wake Forest, NC
Contact us at
(919) 876-0440
or joshstewart@neusebaptist.com
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* Indicates required question
Parent Name
*
Your answer
Phone Number
*
Your answer
Child's Name and Age
*
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
If you have more than 3 children attending, the 4th and up is free. Please list the remaining children below with their ages.
Your answer
Does your child(ren) have any food allergies? If so, please list.
*
No
Yes - If you answered yes, please list in other and please plan to provide a snack for your child.
Other:
Required
Who will be picking up your child?
*
Your answer
Additional notes
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I understand that I will have to pay $$ upon arrival
*
Yes
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