Parent's Night Out

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Parent's Night Out

This a FREE night out for parents! Let us keep the kids, feed them dinner, and wear them out, while you enjoy a night off! Children must be preregistered to attend. We have limited spaces in each class, so please sign up today. This event will be held on Friday, December 3rd. The doors open for drop off at 6 PM and pick up is by 8:30 PM. Donations will be accepted to go toward our next Parents Night Out!

All age groups will be cared for by two adults ages 18 or older. Limited spacing is available so register today.

Child's Last Name *

Child's First Name *

Child's Age Group (Max Spaces Available) *

6 weeks - 12 months

1 - 2 years old

3 years old - Kindergarten (must be potty trained)

1st - 2nd Grade

3rd - 5th Grade

Child's Birthdate *

Allergies, Medications, and/or Special Needs *

Is there anything you would like for us to know about your child before he/she stays with us?

Parent/Legal Guardian Name *

Parent/Legal Guardian Phone Number *

Parent/Legal Guardian Email Address *

Emergency Contact Name *

Emergency Contact Phone Number *

I understand that photos will be taken during this event and give Tipp City Church of the Nazarene permission to use my child's photo for future promotion. *

yes

I understand that a Parent or Legal Guardian must drop their child off so that liability and release forms can be signed before the child is able to stay in our care. *

I understand

I understand that pick up is no later than 8:30 PM. I understand that a late fee of $25 per child will be charged if I do not pick up my child on time.

I understand

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