Babysitting at QAPC for Parents' Night Out

We are extending our summer babysitting series!  Queen Anne Presbyterian understands the difficulties that many families face in trying to find the time and the means to set aside quality time for their significant other and/or themselves.  

On Saturday, November 22nd from 6-8:30pm (THIS SESSION IS FULL...Please check back for upcoming dates) we will be playing a G-rated movie (suitable for all ages) on the big screen.  Snacks and beverages will be provided.  We have a play-area for our smaller children who might be unable or uninterested in watching a full-length feature.  We'll also have games and crafts.  Older children are welcome to bring their own personal electronic devices at their parents discretion. 

Pre-Registration is required as space is limited to 20 children, who will be cared for by a minimum of three sitters (click on the images below to see our babysitter’s biographical information).  Children must be potty-trained. We have a $5 suggested donation per child to cover the costs of supplies.

For questions, call or email Lori Ramage at 571-331-0532 or lrramage@yahoo.com

Se habla español, Susana Blackman en 303-748-9342 o brianandsusana@yahoo.com {C}

Name of Child / Nombre del niño/a *
Name of Child / Nombre del niño/a
Date of Birth / Fecha de Nacimiento
Date of Birth / Fecha de Nacimiento
Address / Dirección
Address / Dirección
Home Phone / Teléfono de Casa
Home Phone / Teléfono de Casa
Cell Phone / Teléfono Celular
Cell Phone / Teléfono Celular
Information in Case of Emergency / Información Adicional en Caso de Emergencia
*Please note that if someone other than the drop-off person is picking up, the individual must bring their identification.
Emergency Contact #1 / Contacto #1
Emergency Contact #1 / Contacto #1
Emergency Contact #1 Telephone / Contacto #1 Telèfono
Emergency Contact #1 Telephone / Contacto #1 Telèfono
Emergency Contact #2 / Contacto #2
Emergency Contact #2 / Contacto #2
Emergency Contact #2 Telephone / Contacto #2 Telèfono
Emergency Contact #2 Telephone / Contacto #2 Telèfono
Please indicate areas related to any current or previous health concerns, problems, or discomforts. Please check all that apply / Marque todas las áreas relacionadas con cualquier problema de salud::