Childcare Request Form

The leader or chair of the event should be the person requesting childcare.

Leader's Name

Leader's Email

This address will receive a confirmation email

Leader's Phone

Event or Meeting requesting care?

Frequency of event

Once Weekly Monthly Other

If this event repeats, please explain frequency. Does it repeat on weekly on mondays or monthly on the 2nd Tuesday, etc.

Date of first event or meeting

Date of last event or meeting

Beginning time of event or meeting

Ending time of event or meeting

Estimated number of kids needing care?

Description

Please fill out this form and click submit to request childcare for your event. Brenda will send you a link for your parents to register their kids once care is approved and scheduled.

Childcare Request Form

Description

Please Fix the Following