Forms Kids

Parents, want some time to celebrate Valentine's Day together? Or grab dinner and a coffee with your spouse? Let us take the kids from 5-8pm. Pizza dinner and snacks are provided for your kids.

Do you know other parents from the community that could really use a night out? Invite a community family to Parents Night Out and mom and dad can bring their kids for free. Simply contact us with their names and kids ages.

Date: Saturday, February 9
Time: 5-8pm
Cost: $10 per kid ages 6 months to Grade 5 (Max of $30/family). Includes dinner for your kids.
Where: Drop off and pick up at Fusion at Central Heights Church

Register online using the form below. Deadline is Monday, February 4.

 

*Denotes Required Field
 ) -

Emergency Contact

If parents cannot be reached.

 ) -

CHILD #1

  • Female
  • Male

Child #2

  • Female
  • Male

Child #3

  • Female
  • Male

Child #4

  • Female
  • Male

PAYMENT/REGISTRATION INFO (PLEASE READ):

To complete your registration, you will be taken to our payment page.

Each child will cost $10 for the whole evening (maximum of $30 per family - includes dinner) 

Deadline to sign up is February 4.

You will need to enter the appropriate amount on the next screen. On the payment screen you will also need to fill out your billing information. You may want to take the time to set up an account on the next screen to save you time in the future.