Forms

Parents Night Out

2017 DATES:
December 8th


6:00 pm - 10:00 pm
$10 per child $20 Max per family

For anyone with children from 6 weeks to 6th grade.
Limited space, please get your reservation early. The reservation is required to participate.
DEADLINE: 3 days before date.

Call or come to the children's building to register. Deadline to sign up is the Tuesday before the Friday and payment is due Wednesday evening. Must prepay to hold spot. Cost $10.00 per child not to exceed $20.00 per family.
  • First Name
    Last Name
  • First Name
    Last Name
  • First Name
    Last Name
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  • First Name
    Last Name
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  • Special needs (Please let us know what special needs your child has so that we can make the accommodations necessary):
  • Emergency Contact
  • First Name
    Last Name
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  • Doctors Information
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  • Electronic Signature
    I hereby give my permission for my child to attend and participate in Calvary Baptist Church Parents Night Out and any activities planned by Parents Night Out.

    I do herewith authorize emergency treatment to be given if necessary only after reasonable effort has been made to reach us/me the parents or emergency contact.

    I, the undersigned do hereby release and agree to hold harmless the Parent Night Out Leadership and Calvary Baptist Church from any and all liabilities or claims for personal injury or illness which may be incurred by my child while attending and participating in Parents Night Out and its activities.
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  • Once registration form is submitted, there will be an email sent to you with payment and drop-off information.