Parent's Night Out
• The program is from 5:00 pm - 9pm. It is offered
February 14, 2018 or as outlined by the
online calendar found on our website.
• Snack with a drink. If you want to bring your child’s snack you may do so. Our facility is capable of refrigeration, preparation or heating. Please label anything brought with your child’s full name and preparation directions.
• Dinner approximately starts around 7:30pm and is going to be cheese pizza. If you do not want your child
to participate in the dinner that is included, please
provide a sack lunch or snacks. Please label anything
brought with your child’s full name and preparation
• All children much be fully potty trained. Ages 5-12
• You are more than welcome to bring in a pillow or sleeping bag to this event. Please not that we are not
responsible for any lost or stolen items.
• There are no refunds for children that are
removed from the program due to any behaviour that is
harmful to others children, persons or themselves.
• Please do not bring your child if they are sick. We will
not allow children that are sick to be dropped off; any
child that becomes ill during the program will be to be
picked up as well.
• All children will need to be signed in and out by an
approved parent/guardian . The sign in/out
sheet will be in the lobby or pick-up arena. A photo ID
will be required at pick-up.
• Please make sure that your child is in comfortable
• Late Pick Up: $5 for the first 15 minutes. $1 per minute
for each additional minute after 15.
To ensure a safe, enjoyable environment for everyone, the information below outlines our guidelines. These
are subject to change with or without notice.
By registering online you acknowledge and accept our guidelines listed.
Please complete one registration form per child.
$8 per child
Child's Name *
Gender *
Mailing Address *
Home Phone: *
Cell Phone: *
Parent's Name *
Age *
Email Address: *
Emergency Contacts
Person #1 *
Phone: *
Person #2
Do you authorize Melbourne Spanish SDA Church staff member to call 911 if an emergency were to occur? *
Allergies or Medical Concerns:
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This form was created inside of Melbourne Spanish Seventh Day.