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Sign–up for Parents Night Out

Sign–up for Parents Night Out
Fridays:
 
November 13, 2009 December 11, 2009 January 8, 2010
February 12, 2010 March 5, 2010 April 16, 2010
(CHECK BOXES OF DATES YOUR CHILD WILL BE ATTENDING)
6:30 pm – 10:30 pm

 PYC Youth and their parents are sponsoring Parents’ Night Out at Canyon Creek Presbyterian Church, 3901 North Star Road, Richardson. Sign up for a few hours or the entire evening of babysitting for ages infant to 5th Grade. Fill out this form and return to church office, or sign up on line. Suggested donation: $20/event plus $5/additional child. Donations support the PYC Triennium Trip in the summer of 2010. Please sign up by Wednesday, November 11! =========================================================================
Yes, Sign US up…
Parent Name:
A value is required.		 email:
A value is required.Invalid format.
Home Phone:
A value is required.		 Cell:
Child’s Name:
A value is required.		 Age: School Grade:
Child’s Name: Age: School Grade:
Child’s Name: Age: School Grade:
Child’s Name: Age: School Grade:
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