eSPACE

Prince of Peace Lutheran Events

Event: Parents' Night Out

Date: Saturday, Jun 08, 2024

Time: 5:00 PM — 8:00 PM

Ticket(s):

One Child - $15.00

Childcare offered 5:00 to 8:00 pm, $15 per child/$30 per family. POP Childcare Staff are First-Aid/CPR certified and have background checks.

Contact(s):	Dawn Ridgway dridgway@popmn.org
	Jeanne Kalsow jkalsow@popmn.org

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Ticket Type

One Child - $15.00

Personal Information

First Name *

Last Name *

Email *

Address *

City *

State *

Zip *

Cell Phone *

Child's Name (1) *

Child's Age (1) *

Please list food allergies, dietary or health concerns. (1)

Please include notes regarding potty training, special items in diaper bag, etc. (1)

Child's Name (2)

Child's Age (2)

Please list food allergies, dietary or health concerns. (2)

Please include notes regarding potty training, special items in diaper bag, etc. (2)

Child's Name (3)

Child's Age (3)

Please list food allergies, dietary or health concerns. (3)

Please include notes regarding potty training, special items in diaper bag, etc. (3)

Child's Name (4)

Child's Age (4)

Please list food allergies, dietary or health concerns. (4)

Please include notes regarding potty training, special items in diaper bag, etc. (4)

Permission to use child(ren)'s photo (no names) in promotional materials, print and social media.

Yes

I want to be reminded