Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Valentine's Movie Childcare Registration - 2/14/2025 Faith City Assembly of God
Event Timing: Friday February 14th, 2025
Event Address: 1314 S Woodland Ave
Childcare is for ages 6 months to 10 years.
This form will register your kids for childcare on Valentine's Day for our feature of Ordinary Angels. You may drop off your children in the nursery starting at 6:30pm that evening and pickup will be directly after the movie ends.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent's
Name
*
Your answer
Parent's Phone Number
*
Your answer
Children's Name with Ages
*
Your answer
Allergies or restrictions for any of your children?
*
Your answer
Anything else we need to know about your children?
*
Your answer
Are you able to pay the fee of $5 per child? This will cover pizza, snacks, and a drink. Additional proceeds will go to Speed the Light. If you are unable to pay $5 per child, adjustments can be made. Please see Hannah Safirt for more information or questions.
*
Yes
No
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
