Want a date night without your kids?


Sign your kids up for free babysitting from 6-10pm on October 20th! Registration is for any children up to 11 years old. The registration deadline is Wednesday, October 18th.

Child 1

Child's Name *
Gender *
Birthdate *
Grade *
Allergies/Special Needs


Child 2

Child's Name
Gender
Birthdate
Grade
Allergies/Special Needs


Child 3

Child's Name
Gender
Birthdate
Grade
Allergies/Special Needs


Your Address

Address *
City & Province *
Postal Code *
Email *


Parent/Guardian Name 1 *
Work Phone
Cell Phone *


Parent/Guardian Name 2
Work Phone
Cell Phone


Person to call if parent/guardian cannot be reached *
Relationship to Child *
Phone *


Who is authorized to pick up your child? *
(list all possible choices)