Date Night Babysitting Form

Please fill out one form per family.

Thank you for supporting our NCYC fundraiser!

Family Information
Please fill out one form per family. In case you need us: Kate's cell 585-281-4767 and Sean's cell 585-217-6826.
Parent Name:
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Parent Name
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Mom's Cell --
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Dad's Cell --
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Emergency Contact & Number
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In case parents can't be reached.
Kid's Info
Name of Child, Age, Allergies & Special Instructions
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Please provide the information listed for each child.
Name of Child, Age, Allergies & Special Instructions
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Name of Child, Age, Allergies & Special Instructions
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Name of Child, Age, Allergies & Special Instructions
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Spam Capture
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