Rock KIDS: Parents Relax and Refuel

Parents Relax and Refuel: Valentine's Edition

A child care service presented by Rock KIDS Volunteers to give parents a chance to relax and de-stress while knowing your KIDS are safe and enteratined.
Parents, this night is for you! Drop your kids off at church in the Rock Youth Center for a few hours of fun while you go out on a special date for Valentine's Day, or just take some well-deserved time to relax and recharge.

The cost is $30 per child, and your little ones will enjoy a safe, engaging evening while you enjoy a few hours of downtime. You deserve it!

Date: Friday, February 13, 2026

Time: 6 PM - 9 PM
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Relationship to Child*

MotherFatherGrandparent
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Relationship to Child*

MotherFatherGrandparent
Emergency Contact Phone Number

Area CodePhone Number
Child(ren) Information
Name (Child #1)

First NameLast Name
Child #1 Age
Name (Child #2)

First NameLast Name
Child #2 Age
Name (Child #3)

First NameLast Name
Child #3 Age
Please specify if any child listed above has allergies, is on special medication, etc. *
Write 'None' or N/A if this doesn't apply.

Registration Fee*

Child FeeKIDS will watch a movie called "The Start" and have popcorn, and make a Christmas gift for someone special!

$30.00 Quantity

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Parents Relax and Refuel: Valentine's Edition