Parent's Night Out!
February 9th, 2019 1-4 p.m. at Prince of Peace Lutheran Church - 14175 NW Cornell Rd, Portland, OR 97229
A phone # of an adult leader at the event in case you need to contact us: 503-317-3974
How many children are you bringing? *
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What are their names, ages, and genders (please list for each if you have multiple kids)? *
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How will you be paying? *
Please list all health conditions and dietary restrictions of your children. *
How long will the children be staying at this event? *
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Is there anything else you would like us to know?
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Your name: *
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Your preferred email: *
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Your preferred phone number: *
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