TCS Kids Night Out
Required Registration for attendance at TCS Kids Night Out
Parent/Guardian Email Address
Parent/Guardian Phone Number/Emergency Contact
Alternate Emergency Contact Name and Number
My child(ren) may be released at the conclusion of the event to:
Child 1 Name and Age
Child 1: Any allergies or medical concerns?
Child 2 Name and Age
Child 2: Any allergies or medical concerns?
Child 3 Name and Age
Child 3 Any allergies or medical concerns?
In the event of an emergency, I give consent for medical care and/or transport. In the event of minor injury, I also give consent for basic medical care.
Payment: $20 a child, or $30 max per family
I will mail a check to: Temple Chayai Shalom, 239 Depot Street, South Easton, MA 02375
Click the link to pay online:
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