A NIGHT OUT Name * First Name Last Name Email Address * Phone * (###) ### #### Number of Children 3 months-3 years * 0 1 2 3 Number of Children pre-K - Kindergarten * 0 1 2 3 Number of Children 1st-5th Grade 0 1 2 3 4 Children's Name Please provide the name children participating. Does your children attend the church nursery or Mercy Kids? Yes No Thank you!
