Fall 2026 Parent's Nights Out

Parent's Night Out!

Friday, September 25th, 5:00-8:00pm
Friday, October 23rd, 5:00-8:00pm
Friday, November 20th, 5:00-8:00pm
Saturday, December 12th, 1:00-4:00pm (Elf's Day Out!)

Your night out, kid's night in for ages K-8! Bring your children to church for games, dinner, and a movie.
Nursery Care is provided. The cost is $20.00 per child, with a $40 cap per family. Please specify in comments "Parent's Night Out".

Parent Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Emergency Contact

*

Phone for Emergency Contact

*

Children K-8

Child's Name

Grade

Allergies? Dietary Restrictions? Information we should know.

Child's Name

Grade

Allergies? Dietary Restrictions? Information we should know.

Child's Name

Grade

Allergies? Dietary Restrictions? Information we should know.

Child's Name

Grade

Allergies? Dietary Restrictions? Information we should know.

Nursery (Infants - Age 4)

Name

Age

Allergies? Dietary Restrictions? Information we should know.

Name

Age

Allergies? Dietary Restrictions? Information we need to know.

Name

Age

Allergies? Dietary Restrictions? Information we need to know.

Dates and Payment

Dates Attending

*

Please select all that apply.

Friday, September 25 Friday, October 23 Friday, November 20 Elf's Day Out! Saturday, December 12 from 1-4pm

Payment

1 Child; 1 Session ($20.00) 2 Children or more; 1 Session ($40.00) 1 Child; 2 Sessions ($40.00) 2 Children or more; 2 Sessions ($80.00) 1 Child; 3 Sessions ($60) 2 Children or more; 3 Sessions ($120) 1 Child; 4 Sessions ($80) 2 Children or more; 4 Sessions ($160)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Parent's Night Out!

Friday, September 25th, 5:00-8:00pm
Friday, October 23rd, 5:00-8:00pm
Friday, November 20th, 5:00-8:00pm
Saturday, December 12th, 1:00-4:00pm (Elf's Day Out!)

Your night out, kid's night in for ages K-8! Bring your children to church for games, dinner, and a movie.
Nursery Care is provided. The cost is $20.00 per child, with a $40 cap per family. Please specify in comments "Parent's Night Out".

Please Fix the Following

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