Parents' Night Out Registration

Date of Next Scheduled Parents' Night Out Is September 13, 2008.

5:30 – 9:30pm, Sign-in in the Lobby of the Family Life Center.
Registration may be limited, please register by the Sunday before PNO.

Fees:

  • $10.00 for the first child

  • $5.00 additional children ($20.00 family household maximum)
     

Please fill out a separate registration form for each child.

Click here for a Print Copy of the Parents' Night Out Registration

If you have any questions prior to registration, contact Robyn Voigt at rvoigt@opumc.net or Carol Rykalsky at 213-4496.

If you do not receive an email reply within 5 days confirming your registration,
please call Robyn Voigt
at 264-2241 extension 233 or Carol Rykalsky at 213-4496

   

*Required fields

   

*Child's Name

    *Age (If under 3, see below)
  Allergies/Special Medical Concerns
    *Parents/Guardians' Name(s)
    *Address
    *City
    *Zipcode
    *Home Phone #
     Cell Phone #
    *Email Address
8:009:2511:00NA    Church Service Parent(s) Attends
YesNo    Do Parent(s) Attend Sunday School    Class?
    *Emergency Contact Name
   

*Emergency Contact Phone Number

    Special Notes

If child registered is 3 or older, please click Submit

If child registered is under 3 years old, please fill out red section before clicking Submit
 

 

Eating Habits/Schedule
Feel free to pack your child a dinner if pizza and lemonade is not appropriate.

Diapering Information
Special creams

Sleeping Schedule
We will try to keep to this as much as possible.

Special Attachments/Habits
 

Any other relevant information that can help us care for your child during this time.

 

PLEASE LABEL EVERYTHING WITH YOUR CHILD’S NAME, all cups, bottles, jackets, bags, etc.

Please click below to Submit.

 
 

If you do not receive an email reply within 5 days confirming your registration,
please call Robyn Voigt
at 264-2241 extension 233.

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Orange Park United Methodist Church
904-264-2241

 

Street Address
2051 Park Avenue
Orange Park Florida 32073
Mailing Address
152 Stowe Avenue
Orange Park Florida 32073