Date Night - October 20th 5-9:00pm

September 27, 2017

Attention, Parents!!

On October 20th, busy parents are invited to take advantage of

free childcare at Decorah Lutheran Church! Children up to the age of 12 can be dropped off at the church after 5:00 pm and be picked up by 9:00 pm.  We will have a fun night of kids’ activities.

Parents MUST register their child by October 17th. Copy and paste the following information and mail it to or stop by the church office to register your child/children.  



Date Night Registration Form

October 20, 2017 5-9:00pm

Date: __________________

Name of child: _____________________   age: ______

Name of child: _____________________   age: ______

Name of child: _____________________    age: ______

Parent: _____________________________________________________

Emergency contact: ___________________________________________

 Phone: _____________________ _/______________________________

Health issues or allergies: _______________________________________


Who will drop the child off?_________________time of drop-off (approx.):_____________

Who will pick up the child?__________________time of pick-up (approx.): _____________

(Drop-offs can be any time after 5pm and pick-ups any time before 9pm).

Signature: ___________________________________________________

If you have questions, please call the church office (382-3601) or contact Tom Little (563-419-6059) .  You may email information to the church office:

Please return this registration to the church office by October 17.

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Phone: 563-382-3601
Office Hours: Monday-Friday 8:00 am-5:00 pm
Worship Services: Sunday at 8:30 & 10:45am