Childcare during the East meets West Dance

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Fill out the form to request childcare during the social dance. Do not send payment until your childcare spot is confirmed. Please fill out a separate form for EACH child. If you require a childcare spot in order to attend the dance, hold off on buying your ticket(s) until you have secured placement.

Email *

Have you bought your ticket to the dance yet?
*

No, I'm waiting for a childcare spot so I can attend.

Yes, I do not need a childcare spot in order to attend because I have another option, but I would like to try to get my kid(s) in so they can come with me.

Your Name
*

Name of other trusted responsible adult attending

If you are busy/unavailable, who else can the sitter/Big Buddy bring your child to?

Child's Name
*

Child's pronouns

Age of Child
*

My child is... (select all that apply)

able to sit up

crawling

able to stand unassisted

walking

talking or able to communicate needs (food, diaper change)

in diapers

potty training

fully potty trained

Other:

I would describe my child's personality as...

My child would do best with a Big Buddy/Caregiver that is...

I want the Big Buddy/Caregiver assigned to my child to know...

How did you hear about this event?

Website

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Flyer

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Comments and/or questions

Send me a copy of my responses.

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