Parent's Night Out - October 16, 2026

Parent's Night Out is open to members and regular attenders of FBC Senoia from 6-9 pm on October 16, 2026. Children age 6 months-12 years are welcome to attend. Dinner, play time and a movie will be provided. Contact Amie Weeks with any questions at 757-995-3403 or amieweeks@fbcsenoia.org.
PARENT / GUARDIAN INFORMATION
 
 
 
 
 
Please select one option.
EMERGENCY CONTACT (Other than Parent)
 
 
PARTICIANTS INFORMATION
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AUTHORIZATION OF EMERGENCY MEDICAL TREATMENT
I hold harmless the First Baptist Church of Senoia and its representatives from any adverse reaction or results to the participant as a result of participation in events, activities or trips. I understand that in the event the participant requires medical treatment while engaged in events, activities, and trips with the First Baptist Church of Senoia, reasonable effort will be made to contact me. If I cannot be reached, then at the discretion of the ministry representative, I grant permission to the ministry representative acting on behalf of the ministry as agent for me, to obtain all necessary medical attention in case of sickness or injury. I realize that the release form is valid for use during Parent's Night Out on October 16, 2026.
Please select all that apply.
PERMISSION FOR PHOTOS & VIDEO
Does First Baptist Church of Senoia have permission to use photos/videos from the events for ministry development?
Please select one option.
E-Signature

I confirm that all of the information I provided is accurate in regard to myself.  


 

Description

Parent's Night Out is open to members and regular attenders of FBC Senoia from 6-9 pm on October 16, 2026. Children age 6 months-12 years are welcome to attend. Dinner, play time and a movie will be provided. Contact Amie Weeks with any questions at 757-995-3403 or amieweeks@fbcsenoia.org.