Peirce Babysitting Nights/Parent Night Out
Friends of Peirce is hosting babysitting nights help raise money to support our field trip program. This is one of our awesome student-powered fundraisers! Childcare will be provided by adult chaperones with Middle School students serving as activity coordinators.

Location: Peirce Elementary at 1423 W Bryn Mawr
Drop off at 6pm/ Pick up by 9pm

First Child= $25
Entire Family= $40

Recommended Ages: 3-10. Children should be potty trained.

Dinner will be served. Usually pizza. You can send snacks for your child as well.

Thanks for supporting our students!
Email address *
Parent/ Guardian Name
Parent Cell Phone
List Your Child(ren) with Name and Age
Anything we should know about your kids to make their night fun and successful? *
I am registering for the following dates:
Your Preferred Payment Method
Clear selection
Legal Waiver: I/We, the undersigned, are the parent(s) of the above named child/children and we agree, in taking advantage of this child care services, to release and hold harmless Friends of Peirce NFP from any and all claims, demands, suits, cost, and charges in connection with or arising out of the child care service, including, but not limited to, bodily harm or injury to our children, except only for loss, harms or injury occasioned by gross negligence or intentional misconduct by Friends of Peirce NFP. I hereby grant permission for Friends of Peirce NFP and its volunteers full authority to take whatever actions they deem necessary regarding my child’s health and safety in the event I cannot be reached or in the situation where time is of the essence; and fully release Friends of Peirce NFP and its volunteers from any liability in connection with those decisions, I grant permission for emergency treatment by a rescue squad, private physician and/or hospital or emergency health care facility staff if needed. Any such action will be taken in the best interest of my child and will be reported to me as soon as possible. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Friends of Peirce. Report Abuse