Police Banquet | nrhcentre

2022 POLICE BANQUET CHILD CARE FORM

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 #3 First & Last Name

Child # 2 D.O.B.

Child # 2 Age

Child # 3 D.O.B.

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 Centre gymnasium and Kids Club. The evening will conclude with a movie. Details about Check in and Check out will be sent on Friday, April 22.

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

Thanks for submitting!