Parents' Night Out
February 7 from 5:00-9:00PM
Name of First Child or Youth
First Name
Last Name
This child/youth is attending as a (select one):
Participant (ages 4-10)
Youth Volunteer (grades 6-12)
Birthday
-
Month
-
Day
Year
Date
Name of Second Child or Youth (leave blank if not needed)
First Name
Last Name
This child/youth is attending as a (select one):
Participant (ages 4-10)
Youth Volunteer (grades 6-12)
Birthday
-
Month
-
Day
Year
Date
Name of Third Child or Youth (leave blank if not needed)
First Name
Last Name
This child/youth is attending as a (select one):
Participant (ages 4-10)
Youth Volunteer (grades 6-12)
Birthday
-
Month
-
Day
Year
Date
All of these children/youth have been registered with the Kingswood Student Registration form. (All participants and youth must be registered whether you are members or visitors. Thank you.)
Yes
Not yet, but I will do that now! (Link is on www.kingswoodumc.com/children)
Signature of adult parent or guardian granting permission for children and youth on this form to attend the February 7 Parents' Night Out at Kingswood UMC.
Name of parent or guardian granting permission.
First Name
Last Name
Submit
Should be Empty: