Kids Night Out

The Gilford Youth Center is offering a Kids Night Out. A chance for Kids to be dropped off for a fun filled evening while parents and caretakers to go out for a special night with a kid free evening! Enjoy a date night or just a quiet night in. Have them come dressed in their PJs!

We welcome potty-trained children ages 2-12 to join the GYC staff for a night of fun at the Gilford Youth Center.

Activities will include:

games/ free play
jumpy slide
movie
pizza dinner, water
craft

Date: Friday, October 14th

Times: 5:30-8:00

Cost: $25 & $15 for each additional sibling

Space is limited, both registration and payment must be completed to reserve your child/children's spot.

Kids Night Out Registration Form

Please note that both registration and payment must be made to hold your child/ren spot. You will be directed to payment page after submitting registration form.

* Indicates required field

Parents/Guardians Name *

First

Last

Email *

Phone Number *

Childs Name #1 *

First

Last

Childs Age #1 *

Childs Name #2 *

First

Last

Childs Age #2 *

Childs Name #3 *

First

Last

Childs Age #3 *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Please indicated any allergies or medical conditions we should know about *

Participation in this program may involve risk of injury. As a parent, guardian or participant, I am aware of these hazards and my child’s ability to participate. In consideration for participation in the program listed above, I hereby for myself, my heirs, executors and administrators waive and release all rights against the Gilford Youth Center, the Gilford Community Church, its officers, employees, agents, volunteers, and supervisors, except in the case of their sole negligence, from all losses, injury, damages, fees, and other expenses, arising out of or in connection with participation in the program and activities. In addition, I give my permission for the child to be treated by qualified medical personnel in the event that the above named parent/guardian cannot be reached at the phone numbers provided. As a parent, guardian or participant, I allow the Gilford Youth Center to take my child’s picture/video for advertising and promotional purposes. *

I agree to the terms stated above

Name *

First

Last

Submit