Kids Night Out
June 12, 2026 | 6:00-9:00 pm
Child's Name
*
First Name
Last Name
Child's Age/Grade
*
Nursery
Preschool
K-5th Grade
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
Allergies or special needs:
I grant permission to Valley View Baptist Church to use my child's image in photos taken at Kids Night Out for possible promotional purposes.
*
I do grant permission
I do not grant permission
Register
Should be Empty: