Friday Night Date Night

Friday Night Date Night Reservation

If you would like to make a reservation for your child(ren) for the next Friday Night Date Night, please do so by filling in the information below.

Cost is $7 per child and includes a meal.

PLEASE NOTE: Friday Night Date Night is taking a summer break. It will resume on Friday, September 10th. Feel free to go ahead and make your reservation for then.

Parent(s) Name:
# of Children:

Please list information about each child:

First and Last Name	Age	Special Instructions

Phone Number:
Parent's Email:
Friday Night Date Night Date: