Childcare Request Form
Form to be submitted one month prior to the requested date(s).
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Email *
Today's Date *
MM
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DD
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YYYY
Name of the event: *
Date(s): *
Location: *
Required
How many adults are you expecting? *
What age group(s) will need childcare? *
Required
What time would you like childcare to open? (If your event is several sessions/days please breakdown each session/day) *
What time would you like childcare to close? (If your event is several sessions/days please breakdown each session/day) *
Is this event exclusively for staff childcare? *
Does this event require a registration sign up? *
If you answered "yes", will attendees register their child?
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What is the available budget amount for childcare? *
What is the budget category for childcare? *
What (if any) will need to be provided for the children? *
Required
Will outside food be allowed in the classroom? *
Are there any further details you'd like to share about this event?
A copy of your responses will be emailed to the address you provided.
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