Parents Night Out Registration Form
January 26th from 4-7pm | Please fill out this form and click submit.
CV Kids and friends, ages 2-12, are invited to join us for Parents Night Out at Central Valley on February 26=2th from 4-7pm. Kids will enjoy, bible stories, games, crafts, and snacks. Please fill out this form to register your child.
Child's Name
*
Age
*
Parents' Names
*
Phone
*
Email
*
This address will receive a confirmation email
Emergency Contact Person
*
Relationship to Child
*
Phone
*
Does your child have food allergies? If so, list them. If not, type N/A.
*
List any medical concerns that you may have. If none, type N/A.
*
Parent's Signature
*
Submit
Description
January 26th from 4-7pm
Please fill out this form and click submit.
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