Neighborhood Nights Registration

Parent or Guardian Name

This address will receive a confirmation email

Cell Phone

Address

Authorized Pick Up Person(s)

Children's Information

Child 1 Name

Child 1 Grade Going Into

Child 2 Name

Child 2 Grade Going Into

Child 3 Name

Child 3 Grade Going Into

Child 4 Name

Child 4 Grade Going Into

Please let us know if any children have allergies or any special needs.

Comments or special requests.

Photo/video disclaimer: During Neighborhood Nights, pictures and videos are taken. These pictures and videos may be used for promotional material. Due to the size and nature of the evening, we are not able to honor individual requests not to appear in photos or videos. By registering you are acknowledging that your child may appear in photos or videos used for promotional purposes.

Description

Wednesday, July 21 6:00-8:00 PM

Thanks for registering for Neighborhood Nights! If you have any questions or if you'd like to volunteer, please email us at office@crossroadsde.com.

Neighborhood Nights Registration

Description

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