Parents' Night Out

Mark your calendars for

April 9 (Final event until next Fall!)

from 6:30 to 9:30 p.m.

for Parents' Night Out with child care at the church.
Registration Deadline is 4:30 p.m. Thursdays before event

• The program is for children aged 10 and younger.

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.
• Complete the form below and submit it (The form will be emailed automatically to Jeannine Usher at the church.). You can put your payment in the PNO Sign-Up Box or bring your payment and pay that night.

Fill out a separate form for each child.

• OR print out a form, complete it (one form per child) and drop it with your check in the Sign-Up Box.
The Parents' Night Out Sign-Up Box is located in the hallway near the elevator and receptionist's desk.
• Cancellations: Cancellations must be made no later than 24 hours in advance. Cancellations received by Noon on the Wednesday preceding the event will receive a credit towards the next Parents' Night Out. No refunds.
• When we have reached our capacity of 50 children, we will begin a waiting list.

• For children not interested in the posted movies, you may provide a book, personal hand-held video game, or craft.
Questions? Contact Jeannine Usher or 205.933.3694

Parents' Night Out (PNO) Sign-Up Form

Fill out ONE FORM PER CHILD

Cost: $7.00 per child/per night. If you sign up on-line, you can put your check in the PNO Sign-up Box or bring your payment that night.

Dates: (Note: April event is the final event until next Fall.)

April 9, 2010

Fill out a separate form for each child.

Child's Name:

Child's Age:

Parent(s) Name:

Emergency Contact and Relationship:

Special instructions for child (ex. bottle time; allergies, etc.)

Remember: One form per child