Parents Night Out - Child Sign Up Form
St. Francis de Sales Cathedral
Parent Night Out
Bring Your children to us and have a great date night!

Place: St. Francis Youth Center
Date: July 7th, 2021
Time: 5:30 pm – 8:30 pm
Registration for children age 4 through 6th grade.

Any questions call Jane Lirette at 856-5488
Email *
Child’s Name *
Child’s Age *
Child’s Grade for 2021-2022 School Year *
Church Parish *
Parent’s Name *
Parent’s Phone Number *
Home Address *
Additional Contact Person *
Additional Contact’s Phone Number *
Any Allergies, Medical Conditions, or Notes? *
A copy of your responses will be emailed to the address you provided.
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