New Year Parent's Night Out Registration Form
Event Timing: Friday, December 30, 2022 6pm - 9pm
Event Address: Chill-House - 9611 Maurice Ave. Maurice, La 70555
Contact us at: (337) 385-2445 or Info@Chillhousefroyo.com

Kids Ages: Pre-K through 5th Grade
Event Fee: $30.00 | Includes: Pizza, Popcorn, Soda, Cocoa, FROYO!
                                                    Movies, Games, Activities, Crafts

For Multiple Children: please fill out a form for each child.

Event is Limited to 30 participants
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Email *
Parent's Full Name
 *
Parent's Email *
Parent's Phone Number
 *
Child's Full Name
Child's Age
 *
Required
Dietary restrictions *
Preferred Pizza
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Any other special notes/needs?
I understand that I will have to pay $30 upon arrival *
Required
A copy of your responses will be emailed to the address you provided.
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