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We are hosting three nights for kids, a chance for parents to have a Friday night without the kiddos. 

Kids age 2 up to grade 5 are welcome to gather, play and discover the creation story. We’ll host dinner and all activities. Bounce a ball, open a box, read a book with the adult Sunday school teachers — all of whom have been certified to work with children.

Join for a parents’ night off on from 5-8 pm (come for all or part of the time)

We’ll provide dinner and beverages.

••••• $5/child •••••
Registration is complete when registration form is completed for each child and the payment is made in check or cash to St Andrew’s Presbyterian Church office prior to the Friday Night Out date so the teachers can plan for meals and activities.


St. Andrew’s Parents Night Out Medical Release & Permission Form

•••••PLEASE READ BEFORE FILLING OUT AND SIGNING THE FORM•••••


••••• $5/child •••••
Registration is complete when registration form is completed for each child and the payment is made in check or cash to St Andrew’s Presbyterian Church office prior to the Friday Night Out date so the teachers can plan for meals and activities.


My child (Named in this Permission Form) has my permission to attend Parents Night Out activities sponsored by St. Andrew’s Presbyterian Church, Portland, Oregon on the date(s) indicated below.

This consent form give permission to seek whatever medical attention is deemed necessary, and releases St. Andrew’s, staff, and volunteers of liability against personal injury or loss.

I, the undersigned, have legal custody of the minor child named below, and have given my consent for them to attend this event organized by and held at St. Andrew’s Presbyterian Church, Portland, Oregon.  I understand that there are inherent risks involved in any activity and I hereby release the church, its pastors, employees, agents, and volunteers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of this child’s involvement.  In the event that they are injured and require medical attention, I consent to any reasonable medical treatment as designated by St. Andrew’s, I agree to hold such persons free and harmless of any claims, demands, or suits for damages arising from the giving of such consent.  I also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by our Medical Insurance Provider.  Further, I affirm that the Medical Insurance Information provided below is accurate at this date and will, to the best of my knowledge, still be in force for the child named below.  I also agree to bring the child home at my own expense should they become ill or if deemed necessary by the activity leader.

I give permission for St. Andrew’s Presbyterian Church to share images of the child for publicity purposes on the St. Andrew’s web-site, communications, and social media.

Child’s Name *
Child’s Name
Street Address *
Street Address
Parent or Guardian Name *
Parent or Guardian Name
Cell Phone *
Cell Phone
Emergency Contact *
Emergency Contact
Cell Phone *
Cell Phone
BY INITIALING or TYPING YOUR FULL NAME BELOW, YOU ARE SIGNING THIS APPLICATION FORM and AGREEING TO THE TERMS ABOVE.
Date *
Date
 
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