Kids Night Out Registration Form

Parent/Guardian Name:
Address:
City:
Zip:
Home Phone:
Cell Phone:
(A) Child's name:
Male/Female:
Date of Birth:
 mm/dd/yyyy
What School:
Grade:
Medical Conditions we need to be aware of:
   
(B) Child's name:
Male/Female:
Date of Birth:
 mm/dd/yyyy
What School:
Grade:
Medical Conditions we need to be aware of:
   
(C) Child's name:
Male/Female:
Date of Birth:
 mm/dd/yyyy
What School:
Grade:
Medical Conditions we need to be aware of:
   
Be part of the Team

Each month we have a team of committed, caring individuals who help out bring these activities to our children; however, we can always use additional help. If you are willing to be part of this team and help in any way, please go through the following list and mark areas in which you would like to volunteer. If you are interested in a particular area and don't feel qualified, we want to encourage you to sign up and we are certain we can train you in your area of interest. I would like more information on helping in the following areas

       
Registration / Administrative Station Assistants: Crafts & Food:

Decorator & Support:

Registration Music Help Prepare Food Decorate with Theme
Make Photo Copies Drama Help Prepare Craft Help Create Themed
  Bible Study   Help Setup or Teardown activity area
  Craft    
  Other    
       
Supplies   Technical Support  
Gather and/or purchase supplies   Create PowerPoint  
    Help run CD/Tape Player  
   
Comments (please provide up to 4 sentences):
  
First United Methodist Church
1215 Jackson Street
Anderson, IN  46016
Office: 765-643-6977
Fax: 765-643-5232



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