Kid's Night Out
Please Register by March 1.
Program is open to children from Kindergarten through 6th grader. Please register each child separately.
Email address *
Child's Name *
Your answer
Child's Age *
Your answer
Parent(s)/Guardian(s) Name(s) *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Emergency Contact *
Your answer
I would like to: *
Required
Does your child have any allergies?
Your answer
I will allow my child's photograph to be used by FPCR. *
Required
Would you like to hear about other activities for children at First Pres? *
Required
A copy of your responses will be emailed to the address you provided.
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