Parent's Night Out Registration
If you have more than 4 children to register, feel free to complete this form again with additional children.
Please contact Chris Fiscus with questions (cfiscus@wm.k12.mn.us).
Email Address *
Your answer
Parent Name *
Your answer
Phone Number *
Your answer
Emergency Contact (s) *
Your answer
Child #1 Name *
Your answer
Child #1 Age *
Your answer
Child #2 Name
Your answer
Child #2 Age
Your answer
Child #3 Name
Your answer
Child #3 Age
Your answer
Child #4 Name
Your answer
Child #4 Age
Your answer
Any allergy or concerns to share
Your answer
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