Date Night Registration


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Parents,
     You are invited to take advantage of free childcare on February 12 from 6-9 pm.  Your children will enjoy pizza, board games and watch the pre-release of the newest VeggieTales movie "Pistachio".  Click here to watch the trailer!  Please fill out the form below so we can be sure to have plenty of pizza and games for everyone!

Parent/Guardian's Name:  *

Child's Name & Age:  *

Child's Name & Age: 

Child's Name & Age: 

Child's Name & Age: 

Cell Number:  *

E-mail Address:  *

Allergies: 

* denotes required field







"God is always trying to give good things to us, but our hands are too full to receive them." - Augustine