Parents Night Out

"*" indicates required fields

Please register my child(ren) for the following date*

April 12, 2024

April 26, 2024

May 12, 2024

June 10, 2024

June 24, 2024

Parent/Guardian*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Primary Cell Phone*

Secondary Cell Phone

Email*

Enter Email Confirm Email

Child(ren)*

Click on the + button to add multiple children.

Full Name

Age

Grade

Emergency Contact's Name*

First Last

Emergency Contact's Phone*

Emergency Contact's Relationship to Child(ren)*

Phone

This field is for validation purposes and should be left unchanged.

14515 Church Street, Upper Marlboro, MD 20773
Phone: 301-627-2636 | Fax: 301-627-1066
Mailing address: P.O. Box 187, Upper Marlboro, MD 20773
Office hours: Monday – Thursday 9 am – 12 noon
parishadmin@trinityuppermarlboro.org

Donate using PayPal or Zelle to parishadmin@trinityuppermarlboro.org.