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Parent's Day Out!
Our youth group wants to give YOU a break for Valentine's Day!
When? February 16th from 6:00 to 9:00
Where? Hillview UMC 8525 Ustick Rd
Cost: $30 for the first child, $45 for 2 children, $50 for 3

Questions? Contact Claire Chambers at (208) 761-7528 or cichambers@yahoo.com


Please answer all question

Email address *
Parent's Name(s) *
(First and Last)
Your answer
What is your primary phone number?
Your answer
How many children will attend parents day out? *
Child #1 First name *
ie. John
Your answer
Child #1 Age (indicate months or years) *
ie. 7 years
Your answer
Child #2 First name
ie. Sally
Your answer
Child #2 Age (indicate months or years)
ie. 18 months
Your answer
Child #3 First name
ie. Sam
Your answer
Child #3 Age (indicate months or years)
ie. 7 months
Your answer
Child #4 First name
ie. Claire
Your answer
Child #4 Age (indicate months or years)
ie. 38 years
Your answer
If your child has any special needs, please list them here with name first.
ie. John allergic to tomatoes
Your answer
How did you hear about Parent's day out?
Any other special notes?
Your answer
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