Childcare Request for Poor People's Campaign 3/28 in Madison
Please fill this form out for each child that you would like to have childcare for during the Assembly on 3.28 at First United Methodist Church in Madison.

Por Favor complete este formulario para cada niño para el que le gustaría tener cuidado de niños durante la Asamblea el 3.28 en la iglesia First United Methodist Church en Madison
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Email *
Adult caregiver first and last name // Nombre y apellido del cuidadoro adulto *
Phone number where you can be reached during the assembly *
Child's name // Nombre del niño *
How old is your child? //  ¿Que edad tiene el niño? *
Does your child have any allergies? Health needs we should be aware of? // ¿Tiene su niño alguna alergia? ¿Tiene alguna condición médica? *
What are a few activities your child enjoys? // ¿Cuales son algunas de las actividades que le gustan a su niño? *
What else should we know about your child? // ¿Que más es importante saber sobre su niño? *
Emergency contact *
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