Parent's Night Out

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Register your child below

Please take a moment to fill out the form.

Parent First Name

Parent Last Name

Email

Phone Number

How many children are you registering?

Child's Name

Child's Age

Second Child's Name

Second Child's Age

Third Child's Name

Third Child's Age

Fourth Child's Name

Fourth Child's Age

Please tell us any allergies your child may have. (If none, answer "none")

Thanks for submitting!

St. James Church

5050 E. 111th St., Tulsa, Oklahoma, 74137

918-299-1133 | info@stjamestulsa.org

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