Independent Presbyterian Church
Saturday, July 26, 2014

Parents' Night Out (PNO)

 from  6:30 to 9:30 p.m. 
• The program is for children aged 10 and younger.
Parents' Night Out with child care at the church.
 Fall dates to be announced.

   Registration Deadline is Friday 10:00 a.m. the day of the event.  However, space is limited, so please register early because once spaces are full, we'll start a waiting list.
   Parents' Night Out includes age-appropriate activities for all ages (10 and younger).
• In addition to the adult supervision, a Security Guard will also be on duty at the church.
Cost:  $7.00 per child.  Pay online below or submit checks to Connie Logan in Congregational Care.

• Pre-register with option to pay online below:  Complete the form below (one for each child) and submit it (The form will be emailed automatically to Connie Logan at the church.). Pay online below or put your check in the PNO Registration Box  or send your check to Congregational Care. It would be helpful if you could pay beforehand, no later than 10:00 a.m. day of event to finalize registration.  PNO registration box is in the hallway near the elevator and receptionist's desk.
Fill out a separate form for each child.
Or print the form,  one per child, and take it to the church.
print out a form,  complete it (one form per child) and drop it with your check in the PNO Registration Box.
The Parents' Night Out Registration Box is located in the hallway near the elevator and receptionist's desk.

New Cancellation Policy:
  • Cancellations must be made no later than 10:00 a.m. on the day of the event or parents will be responsible for payment.
  • No shows will also be responsible for payment.
  • When we have reached our capacity, we will begin a waiting list.
  • For children not interested in watching movies, you may provide a book, personal hand-held video game, or craft.
  • Questions?  Contact Connie Logan in Congregational Care  or  205.933.3694 

Note:  You can 1) just sign-up below or  2) sign-up and Pay online
Parents' Night Out (PNO) Sign-Up Form
Below:  Fill out ONE FORM PER CHILD
Cost:  $7.00 per child/per night. If you sign up on-line, you can pay online or put your check in the PNO Sign-up Box or send it to Congregational Care.  (NOTE:  CHECKS ONLY)
REMINDER:  PNO ends promptly at 9:30 p.m. There will be a $5.00 late fee (per child) for every 5 minutes after 9:30. Thanks for understanding that our nursery staff needs to leave on time. 
PLEASE NOTE:  Your child will not be completely registered until Congregational Care receives your payment prior to the event.
(FORM BELOW REQUIRED)  Check the box(es) below for date(s) you're signing up:  
Fill out a separate form for each child.
Child's Name:         
Child's Age:              
Parent(s) Name:     
Parent(s) Email:     
Parent(s) Cell Phone Number(s):   
Emergency Contact Phone Number and Relationship:   
         (Someone other than child's parents)
Special instructions for child (ex. bottle time; allergies, etc.)  
I will pay online:      

I will pay by check:  
You must press "Submit Form" to send the information on each child to Connie Logan in Congregation Care.
First Submit a separate form for each child, then click on "Go to Paypal" to pay for your child/children all at once.
 Remember:  One form per child.  After submitting form(s) for all children, then click "Go to PayPal" if you want to pay online.