Parents' Night Out Registration

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Valley View Church is hosting a Parents' Night Out on Saturday, December 10, from 5PM-7PM. In order to keep your kiddos safe, we are encouraging registration to ensure we have plenty of adults present to look after your babies. NOTE: This form is for planning purposes only & does NOT replace sign-in/sign-out procedures at actual event.

Name of parent(s) *

Are you the custodial parent or legal guardian of the child(ren)?

Yes

No - Please provide explanation at bottom

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How many kids are you dropping off & what is the age of each child? *

Will the person who picks up the child(ren) be the same person who drops them off?

Yes

No - Please provide name below of pick-up person.

Maybe - Please provide name below of approved pick-up person(s).

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If needed, please provide additional information here, such as name of approved pick-up person(s), any allergies, or other pertinent information to assure we provide the best care possible for your children.

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