Zambia Project Parents' Night Out Registration

(Students, faculty and staff)


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Parents' Night Out Registration
Names of parents:	and
Name(s) of children and age(s):
Address:
City:
Home phone:
Cell phone:
E-mail address:
Please note any food allergies or other comments:


Thank you! Your information will be sent to the Zambia Project. If you have problems submitting this form or have any questions, please contact Caitlin Zach at (608) 332-8461 or caitlin.zach@snc.edu.

Zambia Project

Phone: (920) 403-1351
Fax: (920) 403-3361
E-mail: zambia@snc.edu

St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099