Foster Parents’ Night Out
There’s no doubt about it; the work you do is hard. Overflow419, a foster care ministry of Providence Baptist Church, desires to support you and your family by allowing foster parents an evening to take a break while their kids have a blast! Feel free to register foster/adopted and biological children for this free event to be held Saturday, January 19th from 5:00-9:00 p.m. Games, dinner and a movie will be provided. Background checked adults along with some students from our youth ministry will provide childcare. A member of our security team will be present on campus that evening and security cameras are in use in every room we’ll occupy throughout the night. Providence is located at 5315 Highway 49 S in Harrisburg. We hope you’ll make plans for your kids to join us. We look forward to serving you!
Parent 1 Name *
Your answer
Parent 2 Name
Your answer
Phone *
Your answer
Email address *
Your answer
Child 1 Name
Your answer
Child 1 Age
Your answer
Child 2 Name
Your answer
Child 2 Age
Your answer
Child 3 Name
Your answer
Child 3 Age
Your answer
Child 4 Name
Your answer
Child 4 Age
Your answer
Child 5 Name
Your answer
Child 5 Age
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Do any of your children have allergies? Please list name of child/children and allergy or respond none. *
Your answer
Do any of your children require one-on-one care during their time with us? Please list name of child/children or respond none. *
Your answer
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