KNO Registration 2025 — Stillmeadow Church of the Nazarene

Kid’s Night Out! February 15th 4:30pm - 7:30pm

Our gift to Parents: Kids, come for fun, pizza, & games! Cost is FREE. Registration is open until Feb. 9th

Questions? Call us at 717-764-4888 or email Patsy Moses at pmoses@stillnaz.com

Parent's Name

First Name

Last Name

Parent's Email

Parent's Phone

Name of Child #1

First Name

Last Name

Age/Grade of Child #1

Gender of Child #1

Name of Child #2

First Name

Last Name

Age/Grade of Child #2

Gender of Child #2

Name of Child #3

First Name

Last Name

Age/Grade of Child #3

Gender of Child #3

Name of Child #4

First Name

Last Name

Age/Grade of Child #4

Gender of Child #4

Any food allergies or anything we should know about?