Kids Night Out Registration Form 
Kids' Night Out (Parents' Night Off)
When:
Sunday, December 10, 2023
4:00pm-7:00pm
Parents may begin dropping of kids starting at 3:45pm

What:
This is a free event and is open to all children from toddlers up to 5th grade.
There will be snacks served as well as pizza served for dinner.  Please let us know if your child/children have food allergies and if so please bring labeled food that we can give them.  
We are planning a fun and exciting time for your kiddos.  We hope it will also be a time for you to get some Christmas shopping done, have a date night, or just get a nice break while the kids play games, do crafts, and have a blast!
Where:  
Calvary Chapel Rohnert Park
5905 Labath Ave. Suite 101
Rohnert Park, CA 94928
 Questions can be emailed to vbs@calvaryrp.com

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Email *
Child's Name (First and Last) *
Age *
Grade In School *
Parent's Name *
Phone Number *
Any Allergies?   If so please send in labeled food they can have for dinner and/snack
Additional Information We Should Know
Emergency Contact Other Than Parents (Name, Relationship to Child, Phone Number) *
A copy of your responses will be emailed to the address you provided.
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