DATE NIGHT 2025 Sign Up

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

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Number Of Children

Child(ren)'s Name(s)

Age/Grade Level

Please give details on any medical/behavioral issues.

Please give details on FOOD allergies.

I give permission for GracePoint take photos/video of Date Night 2025 activities to use in our publicity (including our social media and website).

I give permission for my child(ren) to participate in Date Night 2025 activity under the supervision of GracePoint staff/volunteers. I release GracePoint of any liability.

I agree

GracePoint will be taking photos,video, and media at the Date Night 2025 Event. These images will be used by GracePoint to share news about the event, and to publicize the church and it’s events. Images may be used in social media content, prints, printed publicity and published on GracePoints website. If you would prefer for you or your child not to be photographed, please speak to Jill Nunley (jill@gracepoint.me).