CANCELED May 20, 2017 Parent's Night Out Registration
Parent's Night Out this year will focus on a different country each month. Each child will create a Passport for their first time and add to it each month. Students will learn about the country and the culture of the people who live there through pictures, stories, and making a simple snack that is from that country. There will still be plenty of time for free play too!

May the focus is on the country of Brazil! Students will be making a yummy chocolate treat called Brigaderios.

Please complete this form to register for Parents Night Out. **Children between the ages of 2-10**
* RSVP and payment must be received by Wed May 17. $25 for first child, $10 all other children
* Please pay online - use the Parents Night Out designation: servantchurchaustin.org
* Childcare will be at Servant Church in the Godly Play Room.
* Drop off will start at 5:30 pm.
* Pick up will be anytime before 9:00 pm.
* Dinner will be provided for children during this time.

Parent's First Name
Your answer
Parent's Last Name
Your answer
Parent's Cell Phone
In case we need to reach you.
Your answer
Child's Name
Your answer
Child's Age
Reminder - child must be a "walker". We do not have the ability to care for infants.
Your answer
Please list any food allergies your child has:
Your answer
Important things we should know while watching your child:
Please include information about potty training/diaper changes, etc.
Your answer
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