Parents Nite Out Registration

Please Read

Parent's Night Out (PNO) is the perfect opportunity to take some time for yourself, run errands, or go on a date while your kids hang out with us at the Pavilion of Hope.

Please provide the necessary details accurately for us to offer the best care for your child(ren). This information is essential for the duration of PNO..

If you would like to submit the full information upon arrival instead, kindly click here to fill out a simple initial registration form. Otherwise, please proceed to complete the detailed registration form below.

Please note that you would still be required to complete the full registration is required on-site before your child(ren) can be admitted to join the fun.

We appreciate your cooperation in making PNO a fantastic experience for everyone.

Thank you. Happy Nite Out!

Choose a preferred date

Feb. 14th (6:00pm - 9:00pm)

Feb. 17th (5:00pm - 9:00pm)

Kid-1 Full Name

Kid-1 Gender

Kid-1 Age

Allergies (If any)

Kid-2 Full Name

Kid-2 Gender

Kid-2 Age

Allergies (If any)

Kid-3 Full Name

Kid-3 Gender

Kid-3 Age

Allergies (If any)

Kid-4 Name

Kid-4 Gender

Kid-4 Age

Allergies (If any)

Kid-5 Full Name

Kid-5 Gender

Kid-5 Age

Allergies (If any)

Parents / Guardian Information

Please provide the primary contact information of the parent who would be bringing in the kid.

Relationship with kid

First Name

Last Name

Phone/Mobile

Address

Address Line 1

City

State

Zip Code

Country

Parents / Guardian Information - 2

Please provide the secondary contact information in case of any emergency.

Relationship with 2

First Name

Last Name

Phone/Mobile

Other Information

Some description about this section

Are there any other special needs our team should be aware of?

If Others please specify

Wow. You are almost done.
Please remember to sign the Consent and Waiver Form upon dropping off your kids.

By clicking the 'Submit' button below, you affirm that the information provided is accurate and complete to the best of your knowledge. Additionally, you consent to share this information with us for the purposes outlined in this form.