VALENTINE'S NIGHT OUT - SAT. FEB 13TH

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Please complete the form below to register your children for the NIGHT OUT on Saturday, February 13th. DEADLINE TO REGISTER & PAY: Friday Feb 12

Earliest Drop Off: 6pm Latest Pickup: 9pm @ DWCS GYM CIRCLE DRIVE

SEND MONEY TO THE OFFICE OR YOUR CHILDS TEACHER BY Friday Feb 12 (List child's name on envelope that you are paying for) TO HOLD YOUR SPOT. THERE WILL BE A LIMITED AMOUNT OF SPOTS, DON'T MISS OUT!!! WHEN SPOTS ARE FULL THIS FORM WILL BE CLOSED.

$25 CHILD/$20 ADDITIONAL SIBLINGS
AGE 3 - GRADE 6
MUST BE POTTY TRAINED!!!

MOVIE, ACTIVITIES, AND PIZZA

Parent Name & Phone Number

Emergency Contact Name & Number

Number of Children Attending (Siblings can go on same form) Others Need a separate form completed.

Student Names & Ages

Estimated Drop Off Time *

Time

Estimated Pick Up Time *

Time

Any Special Instructions (Food Allergies, Medical, etc.)

Submit

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