Parents Night Out

April 23, 2022 @ 4:00 pm – 7:00 pm

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Take a couple of hours to yourself, you deserve it!

Grab dinner, run some errands, or just relax.

Foster, adoptive, and kinship parents are free to take a night for themselves. Meanwhile, your children are cared for by staff who work alongside trained volunteers from the Church of the Chimes to provide a safe, structured, and fun environment that includes dinner, crafts, and games galore.

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COTC PNO April 2022

Caregiver Information
Name*
First Last
Email*
Phone*
What County Do You Live In?*
Have you been to a Help One Child event before?*
- Yes
- No
How did you find out about this event?*
As a new family, we'd like to contact you to start the process of registering with Help One Child.*
What's the best way to get in touch with you?
- Phone
- Email
Kid Information
How many kids would you like to sign up?*
- 1
- 2
- 3
- 4
- 5
- 6
Child #1 Name*
First
Child #1 Age*
Child #1 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Child #2 Name*
First
Child #2 Age*
Child #2 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Child #3 Name*
First
Child #3 Age*
Child #3 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Child #4 Name*
First
Child #4 Age*
Child #4 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Child #5 Name*
First
Child #5 Age*
Child #5 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Child #6 Name*
First
Child #6 Age*
Child #6 Status*
- Foster Child
- Adopted
- Kinship/Guardianship
- Biological
Any additional comments?