Date Night Registration | The Spark Ministries

Back to Home Date Night Babysitting Fundraiser — Friday October 23 and Saturday October 24

Friday, Oct 23

5:00 – 8:00 PM

Saturday, Oct 24

4:00 – 7:00 PM

$20 per child, per night

Choose one night or both • 100% of proceeds help our youth attend convention • Supervised by the Spark Nursery team & adult volunteers • Limited spots!

Choose Your Night

Friday

Oct 23 • 5–8 PM

Saturday

Oct 24 • 4–7 PM

Both Nights

Oct 23 & 24

Parent / Guardian

Your Full Name *

Cell Phone *

Your Children

Child 1

Child's Full Name *

Age *

Allergies *

Medications

Care Notes

Emergency Contact

Contact Name *

Relationship *

Contact Phone *

Who May Pick Up Your Child(ren)?

Authorizations

Medical consent (required): In an emergency, I authorize The Spark Ministries staff and volunteers to administer basic first aid to my child(ren) and, if necessary, to seek emergency medical care. I understand I am responsible for any medical costs incurred. Photo release (optional): I give permission for photos of my child(ren) taken during Date Night to be used on The Spark Ministries’ social media and website.

Type Your Full Name as Signature *

Date

$20

1 child × 1 night × $20 — due at drop-off

Pay Now with PayPal

Paying with PayPal? Please add a note in PayPal that says “Date Night” (and your name) so our treasurer knows what it’s for.

Back to Home

Babysitting by Spark Youth, supervised by the Spark Nursery team and adult volunteers.
100% of proceeds help youth attend convention who otherwise may not be able to go.

Choose Your Night

Parent / Guardian

Your Children

Emergency Contact

Authorizations

You’re Registered!