Kids Night In Registration Form
May 23 from 6 - 8:30 p.m.
Food provided between 6:30 -7 p.m.
Parent/Caregiver Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How many children are attending?
*
Food allergies?
Please list the names and ages of all children attending.
Rows
Child's Full Name
Child's Age
Child 1
Child 2
Child 3
Child 4
Child 5
Submit
Should be Empty: