NEW DATE!!!!!!! Parents' Night Out - Child Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We're so excited to have your child(ren) join the youth and adults at Amazing Grace Lutheran Church on Friday, April 12th from 5:30 pm - 9:30 pm for a FUN-FILLED Pajama Party!

Proposed: $50/first child + $30/each additional sibling

*All money will support the 19 youth attending the ELCA Youth Gathering in New Orleans July 2024. Thank you for your support!

BEST way to ask questions BEFORE APRIL 12:

SisterDeaconAmanda@gmail.com

BEST way to get in touch the night of:

Sister Amanda's Cell Phone: 651-303-9965

Email *

Parents' First & Last Names & Address *

How do we get in touch with you during Parents' Night Out?

BEST Phone Number

Additional Contact Person *

Additional Contact Person Phone Number *

Child #1

First & Last Name

Child #1

Age

Child #1

Any allergies?

Child #1

Anything you'd like us to know particular to this child? (Interests, calming thoughts, medical diagnosis)

Child #2

First & Last Name

Child #2

Age

Child #2

Any allergies?

Child #2

Anything you'd like us to know particular to this child? (Interests, calming thoughts, medical diagnosis)

Child #3

First & Last Name

Child #3

Age

Child #3

Any allergies?

Child #3

Anything you'd like us to know particular to this child? (Interests, calming thoughts, medical diagnosis)

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms