Movie Night - Parents' Night Out

Registration

One Form Per Family
Movie Night (Parents' Night Out)
Wednesday, July 1 | 5:00 – 8:00pm | The Upper Room
Drop the kids (Infant - 5th grade) off for a fun movie night at church while parents enjoy an evening out. Dinner will be provided, making this a simple and enjoyable night for the whole family. Registration is required with a suggested donation ($10 per child).
Contact Name

First NameLast Name
Contact Email
example@example.com
1st Emergency Contact
Please enter a valid phone number.Format: (000) 000-0000.
2nd Emergency Contact
Please enter a valid phone number.Format: (000) 000-0000.
Number of Children Attending
$10/child
Children Information
Suggested donation is $10/child. All Donations are appreciated

All online payments require a processing fee (3% +.49 per transaction) that will be included in the total due.
Payment Type
Calculation
Total Due
FUMC Net
Total Due - Online Payment

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USDParents' Night Out Payment

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Registration