Kids Night Out Child Registration Form
Join us for an evening of outdoor fun at our Backyard Campout! Kids will cozy up with their blankets and pillows under the stars as we watch an outdoor movie, play exciting games, and make lasting memories with friends. While the kids are having a blast, parents can enjoy a well-deserved night out! The fun includes a pizza dinner, outdoor movie, fun games and activities, and a delicious s'mores snack to end the night. Spaces are limited, so sign up today and let us give your kids an unforgettable end-of-summer adventure while you enjoy a little time for yourself!
Friday, August 14th
5:00PM-8:00PM
Name of Child(ren)
*
First Name
Last Name
Age
Name of Child(ren)
First Name
Last Name
Age
Name of Child(ren)
First Name
Last Name
Age
Name of Parent/Guardian
*
First Name
Last Name
Parent Phone Number
*
Format: (000) 000-0000.
Parent Email
*
example@example.com
Name of Additional Emergency Contact
*
First Name
Last Name
Relation to Child
Phone Number of Additional Emergency Contact
*
Format: (000) 000-0000.
Allergies, Medications, Other Medical Alerts or Concerns
*
Pizza (click "Other" if Your Child is Allergic)
Cheese
Pepperoni
Both
None
Registration
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Registration Fee (Required)
$15.00
$
15.00
Quantity
1
2
3
Credit Card
Submit
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