Kids' Night Out

Spring Kids' Night Out 2024

April 5, 6-9pm: kids will eat chicken nuggets and light snacks, do non-messy crafts and games, and watch a movie. This event is staffed by Sunset Ridge Collective nursery staff, family minister, and approved volunteers.
How many children are you registering?*
Parent information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Child Information
First Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Medical or other information we may need to know about the child (including food allergies).*
Second Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Medical or other information we may need to know about the child (including food allergies).*
Third Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Medical or other information we may need to know about the child (including food allergies).*
Fourth Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Medical or other information we may need to know about the child (including food allergies).*
Medical release
Parent/Legal Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact 1 (other than caregiver listed above)*

First NameLast Name
Emergency Contact 1 Phone Number*

Area CodePhone Number
I (we) understand that, in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff or sponsor to secure the services of a licensed physician to provide the care necessary, including anesthesia for my child(ren)’s well-being. *

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Date*

MonthDayYear
Date
Health insurance company*
Policy number*
Media Release
By clicking the box below, I hereby give permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.*

I Agree
Payment

The spring KNO will be free of charge. Donations are welcome. We hope this event will be a gift for caregivers and children!
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Spring Kids' Night Out 2024

Parent information

Child Information

First Child

Second Child

Third Child

Fourth Child

Medical release

Media Release

Payment