Parents Night Out - September 2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

DETAILS

Children Age Zero through 5th Grade

Friday, September 13, 2024 from 5-9pm
First Baptist Church - 125 SE Cowls Street McMinnville, OR 97128

FREE!
Registration Required - Deadline is Wednesday, September 11, 20234

Nursery/Childcare and dinner available for infants/toddlers/preschoolers.
Games, dinner, and a movie for elementary children.

PERSONAL INFORMATION

Child's First Name *

Child's Last Name *

Address *

City/Zip *

Home Phone *

Age *

Birthdate *

YYYY

School (if applicable)

Grade (if applicable)

Would your child like dinner? (pizza, fruit, cookies, juice) *

YES

Emergency Contact NAME *

Emergency Contact PHONE NUMBER *

Dietary Needs/Retrictions *

Allergies / Medical Conditions *

Special Notes/Requests

Permission

I give permission for my child to participate in Parents Night Out sponsored by First Presbyterian Church and First Baptist Church of McMinnville on September 13, 2024. I understand that in the unlikely event of an accident or illness, every effort will be made to contact me at the phone numbers given above. In the event I cannot be reached, I hereby authorize the adult leaders of First Presbyterian Church and First Baptist Church to take whatever medical attention deemed necessary, including securing the opinion and service of a physician or hospitalization.

Photo & Video Release

I give permission to First Presbyterian Church and First Baptist Church to photograph & video my child during this event. I give permission to copyright, use, and publish the photographs & video for any lawful purpose, including church publications, the church website and social media sites. I have read and understand these statements.

Parent/Guardian Name *

Parent/Guardian Cell Phone *

Date *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of First Baptist Church.

Does this form look suspicious? Report

Forms