Calvary Baptist Church-Valentine's Day Date Night

Register your child for Calvary Date Night!

Date: Monday, February 14th (6p-9p)

Cost: Donations only for youth and kids ministries!

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Contact Phone

(###)

###

####

Contact Phone

(###)

###

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Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Kids

Medical Information

Medical/Allergy information

Emergency Contacts (other than listed above)

Names and Phone Numbers

Dismissal Information

Who may pick up your child at the end of each VBS day?

Other Information

Does your child attend Sunday school? If yes, where?

Do we have permission to photograph your child?

Yes!

No.

Yes, but please don't share on social media.