Parents' Night Out Registration Form

Parents' Night Out at Christ Community Church on Friday, November 11 from 6:00-9:00pm.

***We will be serving pizza and snacks, so please let us know if there are any food allergies or restrictions.***

Parent Name

Phone

Parent Name

Phone

This address will receive a confirmation email

Attending Children (Names & Ages)

Please list any speical instructions/allergies for your child(ren).

Emergency Contact Name

Emergency Contact Phone

****Each participating family will be required to sign a permission/medical consent form at the event.****

As our church prayerfully considers different ways that we can minister to marriage and family, please respond to the following questions:

On a scale of 1-10, how healthy is the communication in your marriage?

On a monthly basis, how much time do you invest in your marriage relationship?

Would you be interested in a community group that focused on cultivating a healthy marriage?

Description

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Parents' Night Out Registration Form

Description

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