BRPC Family Night Sign Up
Hello! Our next Family Night is scheduled for Wednesday, May 1st from 5:30 pm - 7:30 pm. As always, dinner will be served! ;) We hope to see a few Dads at this upcoming Family Night. Dave Frett will be here to briefly discuss the Dare 2 Dad program we are hosting here at BRPC beginning in late May. Dave is the facilitator of D2D. Come get your questions answered, share a meal with us, play some board games, and hangout.
Name
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First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
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Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Ethnicity
Family Night you are registering for
*
February 7th - Game Night!
March 6th - Health Insurance
April 3rd - Healthy Relational Dynamics
May 1st - Dare2Dad
Are you bringing any children with you?
*
Please share the ages of all of your children below?
*
Will anyone else be attending Family Night with you? If yes, please share their first name/s and their relationship/s to you.
*
Will you need childcare?
*
Yes
No
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