Polar Express - Panther Valley Ecumenical Church

ALL ABOARD!

Panther Valley Ecumenical Church

POLAR EXPRESS

PARENTS NIGHT OUT

Saturday, December 7, 6-10 p.m.

We will serve a light supper and snacks. We will entertain your children with games, crafts and, of course, the Polar Express movie so parents can go get Christmas shopping done or a date night! Children need to be potty trained. Recommended Ages 4-12. They can come in pj’s.

Please reserve a spot for your child by completing the on line registration form below and return by December 3^rd.

We are asking if each child could bring a donation of ONE non-perishable item for the food pantry.

PERSONAL INFORMATION

Child's Name(s):

Child's Age(s):

Your Address:

Home Telephone:

Cell Phone:

Home Email address:

Parent's Name

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MEDICAL INFORMATION

In case of emergency, contact: (Name and phone number)

Allergies or other medical conditions, please describe

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RELEASE CONSENT

Do you grant permission to allow photos of your child to be used in church presentation or church promotional materials, in publications, media press releases, bulletin boards, social media, and other such purposes on behalf of Panther Valley Ecumenical Church?

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