Wednesday Night Childcare
Please fill out this form and click submit.
Adult Name
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Name & age of your child. If you are dropping off multiple children you can list all of them here.
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Email
*
This address will receive a confirmation email
Cell Phone (this number will receive text notification if necessary)
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Secondary Cell Phone #
Whose number is this?
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Does your child/children have any allergies?
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Please select all that apply.
Yes
No
Option
If yes, please explain.
If you are utilizing the nursery on Wednesday nights to attend a Bible Study (NOT helping in Awana), you are required to serve at least ONE night in the nursery per semester. A sign up sheet will go around at a later date. (Note: we cannot offer Wednesday night childcare without your help. It is much appreciated!☺︎)
*
Please select all that apply.
I understand & agree to serve
I have questions (see Molly)
Are there any other things you would like us to know about your child/children?
If there are any other adults or siblings (of driving age) that you authorize to pick up your child, please list those names here:
Submit
Description
Please fill out this form and click submit.
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