Foster & Adoptive Care Parent's Night Out January 24 - 6pm to 9 pm
Thank you for registering!! Space is limited. Dinner Provided
Please Only register if you have plans to attend. We want to make sure that we are being good stewards and have the right amount of food and staff for each event.
If you have registered and something has come up, please let us know by Wednesday before
We do understand things happen that are sometimes beyond our control.
PNO Address: 1801 Ben King Rd., Kennesaw, GA 30144 | Door G
Parent's Phone Number(s)
What county/private agency are you licensed through? - Remember this is for Foster & Adoptive Families only!
Bethany Christian Services
Number of Children Attending
Please list all children's names and ages.
( example: John Smith-8)
Please list any allergies your child(ren) may have (food, bee stings, etc).
Emergency Contact (Name and Phone Number)
I authorize a representative of Kennesaw United Methodist Church and the Foster Care Ministry Team to transport and give consent for any and all emergency medical care for my child while he/she is in the custody of the church. Parent/Guardian will be contacted in the event of an emergency.
Please type your name to agree and type no if you do not agree.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Kennesaw United Methodist Church.