Parents' Night Out: November 18, 2017
Time: Nov. 18 from 4:30-7:30
Cost: $20 for 1 child, $10 each additional child
Location: Foundry414 ~ 6205 University Ave, Madison, WI 53705
Contact us at jenny@foundry414.com
Email address *
First Child's Name *
1st Child's age group *
Does Child 1 have any allergies? If yes, please list them. *
Please attach a picture of child 1 for us to print for a craft. *
Required
Second Child's Name
2nd Child's age group
Does Child 2 have any allergies? If yes, please list them.
Please attach a picture of child 2 for us to print for a craft.
Third Child's Name
3rd Child's age group
Does Child 3 have any allergies? If yes, please list them.
Please attach a picture of child 3 for us to print for a craft.
Fourth Child's Name
4th Child's age group
Does Child 4 have any allergies? If yes, please list them.
Please attach a picture of child 4 for us to print for a craft.
Parent/Guardian Information
Parent's Name 1 *
Parent's Name 2
Cell Phone Number *
Choose the one that applies to your family. After completing this form, you will see the link to the Foundry414 website where you can pay online. https://madisonvineyardchurch.cloverdonations.com/parentsnightout/ *
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