Police Banquet | nrhcentre

CONTACT INFO

Parent First & Last Name

Parent D.O.B.

Address

City

Zip Code

Contact Phone # (this needs to be a contact number you can be reached at during the banquet)

Child #1 First & Last Name

Child # 1 D.O.B.

Child # 1 Age

Child #2 First & Last Name

Child # 2 D.O.B.

Child #3 First & Last Name

Child # 3 D.O.B.

Child # 2 Age

Child # 3 Age

Does your child have any food allergies?

Yes

If yes, list allergies:

IMPORTANT INFO

Your registration includes dinner and snack for your child. Staff will be supervising kids in activities held in the NRH Senior Center.

Come dressed in your PJs. We will start with snacks & dinner (provided) and finish with a movie.

Details about Check in and Check out will be sent on Friday, February 10.

*Parent will be contacted for illness, diaper changes or disciplinary action that may be required.

Thanks for submitting!