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Perryville FBC-Parents Night Out
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Name of Parents
*
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Parents Mobile Number
*
Leave us the number that you can be reached during the event.
Your answer
Names & Ages of Kids Attending
*
Ex: Chandler-8yrs, Chelsey-7yrs, and Brandon-6 yrs
Your answer
Please list any food allergies
*
Ex. Chandler has peanut allergies. If not allergies, just put N/A
Your answer
In the case a need arises and we are unable to contact you, please leave the name and number of a secondary contact.
*
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Do any of the kids have special needs that we need to be aware of? If yes, please list below. If no, please answer N/A.
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