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FILL OUT FORM BELOW

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Parents Night Out

Thank you for registering for Parents Night Out at Place of Liberty Church. Our goal is to provide a safe, clean, nurturing, and fun environment where your child can enjoy a positive evening while parents and guardians enjoy time to rest, refresh, or reconnect.


This registration form helps us ensure the safety, care, and well-being of every child entrusted to us. Please complete all sections accurately and honestly. The information you provide allows our staff and volunteers to prepare appropriately for your child’s needs, health considerations, and emergency situations.


By completing this form, you acknowledge that your child will be participating in a supervised church-sponsored event and agree to the policies, expectations, and liability terms outlined below.


We appreciate your trust and partnership as we serve your family.

Address ( just in case if we have to drop off student in an emergency)
Best way to contact you during the event
Phone
Text
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