Wave Student Transportation : Booking Form

Parents' Night Out Registration
Need a night to yourself? We've got you covered! 💙

Join us for Parents' Night Out at Kaiden's Korner Childcare Services, where your child will enjoy an evening of fun, games, crafts, movies, and activities in a safe, caring environment while you enjoy a well-deserved break.

Registration Fee: $25 per child

💳 Payment is required to reserve your child's spot.

Please send your payment via Cash App before submitting this registration.
Parent/Guardian Full Name
Email
example@example.com
Phone Number

Area CodePhone Number
Emergency Contact Name
Emergency Contact Phone Number

Area CodePhone Number
Child Information
Name

First NameLast Name
Age
Does your child have any allergies, medical conditions, or dietary restrictions?
Payment Information

Registration fee$25.00

Total $0.00

Credit Card

Cash App Pay

Parents' Night Out Registration