Clone of February Kids Night Out!

Kids Night Out!

Saturday April 25th Ages 2-12 Time: 5pm-9pm Cost: $60 for Members and $70 for Non-Members Dinner Included!
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Second Child's Name

First NameLast Name
Second Child's Birth Date

MonthDayYear
Parent/Guardian Information
Name

First NameLast Name
Best Contact Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.

Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Meal Selection
Childs Main Course
Childs Side
Childs Drink
Second Childs Main Course
Second Childs Side
Second Childs Drink

Member

$60.00 Quantity

Non-Member

$70.00 Quantity

Total

Kids Night Out!