Parents Night Out

PARENTS NIGHT OUT

November 6th at First Baptist Church in Madison
6:00pm-9:00pm
For children with special needs (ages 0-21yrs), and their siblings (ages up to 5th grade).
Call Owen Mullen or Esper Delgado at 601-859-5290 to register or to get more information.

Register here, or call 601-859-5290

* Indicates required field

Parent/Caregiver Name *

First

Last

Child's name: *

Child's age: *

Email *

How did you learn about this event? *

List names and ages of siblings who will be attending: *

Comment *

I will download and complete the "Camper Intake Form" below and return it upon check in at Parents Night Out: (Choose One) *

Yes No I prefer the form to be emailed to me

I agree to receiving marketing and promotional materials

Submit

Camper Intake Form

Register here, or call 601-859-5290

​Hope Hollow Ministries2008

Hope Hollow Ministries
2008