Couples' Night Out - Childcare Request

Couples' Night Out

Saturday, March 6th

6:30-8:00 p.m.

Brookfield Lutheran Church

Join us for an evening of laughter, fun and fellowship.

FREE Childcare provided!

To take advantage of free childcare during the event, please register your family below:

CHILDREN being registered for childcare during Couples' Night Out (please include their last names if different from your own):

*Child's Name:   *Age:  

*Child's Name:   *Age:  

*Child's Name:   *Age:  

*Required Information

Thank You and we look forward to seeing you on March 6th!