Kids' Night Out: Christmas Fun! (Dec.16th)

Our last Kids Night Out for the 2022 year will be Friday, December 16th from 5:30 - 8:00pm.  The theme will be Christmas Fun! We will eat pizza, tell the story of Jesus’s birth, decorate gingerbread houses, have a "snowball" fight, and our Pound Class will return!  All in all, it is bound to be a wonderful time! As usual, pre-registration is required and space is limited. And our December event usually fills up pretty quickly! Contact Trish Santos at 217-370-5614 for more information.

Kids' Night Out is a monthly event during the schoolyear for children ages K-5th grade.  Kids who participate enjoy an evening of fun while parents get some time off for themselves. And the best part: this event is free and open to the public!

Sign in to Google to save your progress. Learn more
NOTE: Please fill out a separate registration for each child.
Parent/Guardian's Email *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Parent/Guardian's Phone *
Emergency Contact (Name, Phone) *
If Parent/Guardian is unavailable
Child's First Name *
Child's Last Name *
Child's Grade *
Dietary Restrictions or Allergies *
Home Church (optional)
Photo Release
By granting permission you hereby grant Christ Evangelical Lutheran Church permission to use your child's likeness in photographs in all its publications, including website entries, without payment or any other consideration.  You also understand and agree that these materials will become the property of the church, which may edit, alter, copy, exhibit, publish, or distribute these photos for purposes of promoting the church's programs.  In addition, you waive the right to inspect or approve the finished product and you waive any right to royalties or other compensation arising or related to the use of these photos.  You hereby hold harmless and release and forever discharge the organization from all claims, demands and causes of action that I my heirs, representatives, executors, or any other individuals acting on your behalf or on behalf of your child, or any estate pertaining to either party, have or may have by reason of this authorization.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy