Date Night - Free Babysitting

Child Registration Form For Date Night - Free Babysitting

Enter your details, list each child’s name and age, any allergies the child may have, and confirm you’ll provide required care items. PARENTS ARE RESPONSIBLE FOR DIAPERS, BIBS, AND TRAINING PANTS.
Registrations must be submitted by noon July 18th 2026.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Children Information
Children Information
Our menu for the meal is grilled hamburgers, hot dogs, mac & cheese, and chips. We will have a Sundae Bar as a snack later that evening. To ensure that we have enough sandwiches, please fill out the section below that allows you to select their sandwich.
Which sandwich would your child/children prefer to have for dinner?
Number of grilled hotdogs we should prepare for your child/children.
Number of grilled hamburgers we should prepare for your child/children.
Should be Empty:

Child Registration Form For Date Night - Free Babysitting