Parent's Night Out       
at Peninsula Bible Church Cupertino

Calling all stressed out parents! Enjoy a night out with your spouse or just an evening to yourself while we entertain your kids with music, crafts, Christian stories, snacks and more.  Childcare is free of charge. Our volunteers have been background-checked and love kids.

Why are we doing this?   

Click here for more information.

Release of Liability Waiver
I permit my child/children to participate in Parents' Night Out with Peninsula Bible Church Cupertino February 8th and 22nd, 2019. I certify my child is able to participate in this event. I understand and fully accept that accidents and injuries are possible. I hereby release and hold harmless Peninsula Bible Church Cupertino, its officers and employees, and designated volunteer group leaders and chaperones, from all liability and from all actions or claims that I or my child now or hereafter have for any damage or injury to my child, or to any person or property, resulting from the negligence or other actions of any employees or agents in connection with my child’s participation in this activity.  I understand that photographs, motion pictures, video recordings or other memorializing of this activity and his/her participation therein may occur, and I grant permission to PBCC to use these in media and publications. I and my child waive any right to receive compensation there from.

Permission to Render Emergency Aid
 In case of medical emergency, I hereby give permission to the group leader to order medical treatment, including needed tests and x-rays, for my child. Of course, I understand that an attempt will be made to reach me by telephone immediately after any injury and when the diagnosis is completed.  I understand that my medical insurance is primary and that I will be responsible for all expenses due to any injuries to my child as a result of participation in this event.