Date Night Kids Drop-Off Registration Form

Give yourself and your spouse an evening off! Drop off your kids (ages 1st Grade and up) for a fun night filled with games, food, and activities at The River Christian Fellowship.

📅 Date: Saturday, December 6, 2025
🕔 Time: 5:00 PM – 8:00 PM
đź“Ť Location: The River Christian Fellowship

Please complete one form per family.

Sign in to Google to save your progress. Learn more

Section 1: Parent / Guardian Information

Full Name *
Phone Number *
Email Address *
Emergency Contact Name (if different from above)
Emergency Contact Phone
Section 2: Child Information
How many children attending? *
Any food allergies or dietary restrictions?
Section 5: Consent & Liability
I give permission for my child(ren) to participate in The River Christian Fellowship’s Date Night event. I understand that every effort will be made to provide a safe environment, and I release The River Christian Fellowship and its volunteers from liability in the event of accident or injury. *
Required
Signature / Typed Name
Please type your full name as your digital signature.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CSN International.

Does this form look suspicious? Report

Google Forms