Parents' Night Out 2025

Parents' Night Out
Friday, December 5th
Double doors open at 5:50 p.m.
Pick up by 9:00 p.m.

$10.00 / child PLUS $1.00 / gift (maximum 6 gifts per child)

Dinner is included in the price

Child's Information

One child per form, please.

Child's Name

*

Known Allergies

Gender

*

Please select one option.

Male Female

Child's Date of Birth

*

Grade Level

*

Please select one option.

Babies (0-1) Toddler (2) Pre-K (3-5) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Parent's Name

*

Phone

*

Gift Information

Only children 3 years and older can purchase gifts.

How many gifts will your child purchase?

*

Please select one option.

1 2 3 4 5 6 None

Who are the gifts for? (Please list all names)

*

We're looking forward to seeing your child at Parents' Night Out!

All gifts must be paid for at the time of registration. Please choose the payment option that matches the number of gifts your child will be purchasing.

Payment

Child ($10.00) Child + 1 Gift ($11.00) Child + 2 Gifts ($12.00) Child + 3 Gifts ($13.00) Child + 4 Gifts ($14.00) Child + 5 Gifts ($15.00) Child + 6 Gifts ($16.00) Volunteer's Child ($0.00) Volunteer's Child + 1 Gift ($1.00) Volunteer's Child + 2 Gifts ($2.00) Volunteer's Child + 3 Gifts ($3.00) Volunteer's Child + 4 Gifts ($4.00) Volunteer's Child + 5 Gifts ($5.00) Volunteer's Child + 6 Gifts ($6.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Parents' Night Out
Friday, December 5th
Double doors open at 5:50 p.m.
Pick up by 9:00 p.m.

$10.00 / child PLUS $1.00 / gift (maximum 6 gifts per child)

Dinner is included in the price

Please Fix the Following

Close