Parents Night Out
All parents need an evening to themselves once in a while, and Rehoboth wants to help you make that happen--Parent's Night Out is back!

Rehoboth Baptist Church is hosting a Parent’s Night Out for all children in and around our community.  This event will provide your children a social opportunity in a structured and well-supervised setting.  Parents can enjoy an evening to themselves, while the children enjoy an evening of music, crafts, games, and Bible stories!

·         Friday, September 20, 6-9pm

·          Ages 6 weeks – 5th grade
Parent/Guardian Name *
Your answer
Parent/Guardian Address *
Your answer
Email *
Your answer
Home Phone *
Your answer
Mobile Phone *
Your answer
Child's Name *
Your answer
Child's Age *
Your answer
List any allergies/special needs your child has: *
Your answer
May we have permission to photograph your child for promotional purposes? *
When you worship, where do you attend?
Your answer
Would you like more information about Rehoboth Church?
Waiver: *
In consideration for the opportunity to participate in this program of Rehoboth Baptist Church, the undersigned, on his/her own behalf or as parent/legal guardian of the participant, hereby expressly and voluntarily agrees to assume all risks, whether known or unknown. The undersigned, on his/her own behalf or as the parent/legal guardian of the participant, further agrees and covenants, not to sue and to hold harmless and forever release, waive, and discharge the Rehoboth Baptist Church, its legal representatives, successors, agents or employees, from any and all liabilities, claims, demands, actions, causes of action, losses, debts, sums of money, suits and damages, arising out of any injury which the participant and his/her parents, heirs, executors, administrators, successors and assigns, may have sustained by participation in the recreation program or children's ministry of Rehoboth Baptist Church whether caused, in whole or in part, by the acts, omissions, or negligence of the releases or otherwise. I HAVE READ THE ABOVE GENERAL RELEASE AND LIABILITY WAIVER AND UNDERSTAND THAT I FOREVER WAIVE CERTAIN RIGHTS BY SIGNING IT AND DO SO VOLUNTARILY.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service