Building our Power- Childcare/Interpretation Request
This form is to request childcare or interpretation during the event. The childcare will be at the same venue as the townhall. If you would like to request childcare or interpretation please do so by Monday, September 9th. We will not be able to accommodate any childcare requests after that date.
E-mail *
First Name
Last Name
Do you have interpretation needs? *
If yes, which language?
If other, please specify: *
How many kids will you be bringing? Names and ages for each? *
Do the kids have any allergies? if so to what? Please specify for each kid by name. *
Are there any other things that our childcare providers should know? i.e. special needs the children have, things to avoid? *
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