Parents Night Out - May 17, 2025

Charlestown Parks is hosting a Parents Night Out on Saturday, May 17 from 6-9 p.m. at the Family Activities Park and The Depot for ages 3-13. This is an opportunity for parents to have a night out while children play and explore the park!

There will be activities like games at The Depot, roller skating, mini-golf, and more! We will provide the pizza pies too!

Staff will include Charlestown Parks, members of the Charlestown High School National Honor Society, and CHS athletes.

The cost is $15 per child and includes pizza and snacks. This will be a rain or shine event.

Questions? Call 812-256-3422 ext 6.

Parent/Guardian's Name*

First NameLast Name

Parent/Guardian's Email*

example@example.com

Parent/Guardian's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian's Phone Number*

Please enter a valid phone number.

Emergency/Secondary Contact Name*

First NameLast Name

Emergency/Secondary Contact Number (if unable to contact parent/guardian)*

Please enter a valid phone number.

Child's Name*

First NameLast Name

Child's Age as of May 2025*

If multiple children, please list name and age.

Does the child have any food allergies or other needs our staff should know?

Participation Agreement and Activity Risk Waiver

Signature – By signing below you agree that you have read the attached Participation Agreement and Activity Risk Waiver.*

Parents Night Out*

One Child - Parents Night OutMay 17, 2025, 6-9 PM

$15.00 # of Children

Total

$0.00

Credit Card