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YMCA Kids Night Out


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YMCA Kids Night Out

  1. 1. FOR YOUTH DEVELOPMENTFOR HEALTHY LIVINGFOR SOCIAL RESPONSIBILITYKids Night OutSaturday, May 4th 20137pm-10pm $12/child50% of Pre-registered tickets benefit:Sperreng and Truman Middle SchoolWhat to expect:Swimming, Games, Basketball, Volley-ball, Dancing, Dodgeball, Movies andmuch more.Concession available.Please make checks payable to theSouth County Family YMCASouth County Family YMCA - 12736 Southfork Rd., St.Louis Mo 63128Jennifer Davis, Program or 314.849.4668 ex. 235Kids Night Out Sat. May 4th 2013Please complete the following registration information and return to school office.Child’s Name ____________________________________ Date of Birth_________________________Child’s Name ____________________________________ Date of Birth_________________________Child’s Name ____________________________________ Date of Birth_________________________Address _____________________________________________________________________________________Parent/Guardian Name _________________________________________________________________________Home Phone # __________________________________________________Cell Phone # ____________________________________Parent Email Address____________________________________________________________________________________________To be filled out by parent: ____ YES, my child is allowed to swim ____ NO, my child is not allowed to swimParent Signature ______________________________________________________________________________For more information contact Jennifer Davis at 314-849-9622 ext. 235