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Wednesday Night Out
Registration
Parent/Guardian Name(s) *
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Address: *
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Phone: *
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Email Address:
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Children attend:
Parish in which you are registered:
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Do you have a child preparing for First Holy Communion this year?
If yes, what is your child's name?
Your answer
Do you have a child preparing for Confirmation this year?
If yes, what is your child's name?
Your answer
Please list your children that will be attending WNO, along with their birthdate and grade.
Your answer
Please list any children with allergies or medications (name of child and allergy/medication)
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Please indicate where you'd be interested in volunteering at Wednesday Night Out:
To help defray costs, enrollment fees for the WNO program are $50.00 per person per year, with a $200.00 maximum per family. Please indicate the total number of family members enrolling in WNO. If cost is a difficulty for you, please let us help make alternate arrangements. Number of adults enrolling in WNO:
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Number of children enrolling in WNO:
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Number of children who will use the nursery: (Only parents registered to attend WNO themselves will be allowed to leave children in the nursery)
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Total family enrollment:
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