Kids Night Out Registration form

Let your little ones have a blast while you enjoy a night out. They will have dinner, play games and meet other kids. $5 donation requested to help pay for food.

Looking for a well-deserved break from your daily routine while making sure your child has an amazing time in a safe and enriching environment? UUCNH has you covered! Kids Night Out are the ideal way for parents to enjoy an exciting night out while their kids engage in fun and educational activities.

Join us at
2359 West Ingomar Rd
Pittsburgh PA 15237
On the first Friday of each month from 6-8:30pm.

All adults have the required background checks and at least one adult is trained in CPR.

Name of Child

*

Age

*

Parent's Names

*

Email

*

This address will receive a confirmation email

Phone

*

Secondary Emergency Contact and phone number

*

Address

*

List any allergies and Food requirements (ie vegetarian...)

*

List any special needs or concerns we should be aware of

*

Drop off Dates

*

Please select all that apply.

August 1, 2025 September 5, 2025 October 3, 2025 November 7, 2025 December 5, 2025 January 2, 2026 February 6, 2026 March 6, 2026 April 3, 2026 May 1, 2026 June 5, 2026

Description

Let your little ones have a blast while you enjoy a night out. They will have dinner, play games and meet other kids. $5 donation requested to help pay for food.

Please Fix the Following

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