2023 NIC AC - Childcare Scholarship Form

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2023 NIC AC - Childcare Scholarship Form

Please complete this form if you would like to request a scholarship in order to assist with childcare costs during the 2023 Annual Conference by May 15.

June 6-8, 2022
Renaissance Schaumburg Convention Center Hotel

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* Indicates required question

Email *

Your email

Parent/Guardian First Name *

Your answer

Parent/Guardian Last Name *

Your answer

Church City *

Your answer

Church Name *

Your answer

Best phone number to contact you *

Your answer

Are you clergy/laity? *

Clergy

Laity

How many children (12 & under) will need childcare while you are at Annual Conference? *

Your answer

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