Parent’s Night Out
Parent’s Night Out at the YMCA Saturday, December 3, 2016 The Family YMCA of Fayette County will be hosting Parent’s Night Out, a funfilled evening for kids ages 5-12. We will offer Bounce houses, open gym, games, face painting, G/PG movies and a concession stand: pizza ($2.00/slice), candy ($1.00), drinks ($1.00) and all you can eat popcorn ($1.00)! Each child will wear a wrist band with emergency contact information to identify each child. We will also have a “bank” where kids can keep their money in a safe place after purchasing snacks. Registration begins at 5:15 pm. Santa Claus & Mrs. Claus will be visiting the YMCA from 6:00 - 6:30pm. Photos with Santa & Mrs. Claus will be taken for $5.00. WHEN: Saturday, December 3, 2016 5:30-9:00pm WHERE: FAMILY YMCA OF FAYETTE COUNTY PRICE: $10.00 per child/siblings $5 REGISTRATION: begins at 5:15pm
Parents can register kids in advance. Forms available at the YMCA. Contact us at 618.283.1258 with any questions about Parent’s Night Out
Parent’s Night Out 2016 Dear Parents/Guardians: Santa Claus & Mrs. Claus, bounce houses, dodgeball and open gym for the kids while you have an evening to yourselves! Saturday, December 3, 2016 is the next Parent’s Night Out… DROP YOUR KIDS OFF AT THE YMCA! The Family YMCA of Fayette County will be hosting Parent’s Night Out, a fun-filled evening for kids ages 5-12. We will offer bounce houses, open gym, dodge ball, games, face painting, movies (G/PG rated), and a concession stand: pizza ($2.00/slice), candy ($1.00), all you can eat popcorn ($1.00) & drinks ($1.00)! Each child will wear a wrist band with emergency contact information to identify each child. We will also have a “bank” where kids can keep their money in a safe place after purchasing snacks. Registration begins at 5:15pm day of but parents can pre-register at the YMCA beforehand. Santa Claus & Mrs. Claus will be visiting the YMCA! From 6:00 - 6:30pm photos with Santa will be taken for $5.00. WHEN: Saturday, December 3, 2016 TIME: 5:30 – 9:00 pm REGISTRATION: 5:15 pm Santa Claus & Mrs. Claus picture taking: 6:00-6:30pm WHERE: Family YMCA of Fayette County PRICE: $10.00 per child/siblings $5.00 CONTACT: Amber Daulbaugh, Associate Executive Director/Program Director, 618-283-1258 At the bottom of the flyer is a registration form that can be completed for each child and signed so that your child can attend Parent’s Night Out. Please bring this completed form when you drop off your child/children. It is important that a parent or guardian come to registration with their child because a waiver form must be signed. You may put multiple names on the form. Please come join the Family YMCA of Fayette County for an evening of great fun! ----------------------------------------------------------------------------------------------------------------------------- -----------------------------------
Parent’s Night Out Registration Form Print clearly 1) Last Name_______________________________________First Name__________________________________Date of Birth____________________ ___ Medications/Physical Condition:______________________________________________________________________________________________ ________ 2) Last Name_______________________________________First Name__________________________________Date of Birth____________________ ____ Medications/Physical Condition:______________________________________________________________________________________________ ________ 3) Last Name_______________________________________First Name__________________________________Date of Birth____________________ ____ Medications/Physical Condition:______________________________________________________________________________________________ ________ Street__________________________________City_______________________State___________Zip___________e -mail_______________________________ Cell Phone_____________________________Home Phone_______________________________ Mobile Carrier [ ] AT&T [ ] Verizon [ ] Sprint [
] Other____________________________________________
WAIVER: The Family YMCA of Fayette County is not responsible for damages or injuries while participating in a YMCA Youth Program. By participat-
ing you assume the risk for any injuries, and agree to remise, release and forever discharge the Fayette County Family YMCA from any claims, damages and causes of action that may accrue from all injuries suffered.
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Print Parent/Guardian Name
Parent/Guardian Signature
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