Kids Fun Night Registration Form 2019-2020
*Washington Church sponsored event held at Grove Patterson Academy - 7pm-8:30pm

*If you have already registered your child for the 2019-2020 school year, you do not need to register him/her again for each Fun Night, unless you are updating information.

*Please walk your child into Grove Patterson upon arrival and enter the school again when picking up.
Child First Name *
Child Last Name *
Grade *
Parent or Guardian Name *
Contact Email *
Contact Phone *
Contact Address *
Additional / Secondary / Emergency Contact *
Additional / Secondary / Emergency Contact Phone *
Any Known Allergies
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