Childcare Request

First Name

Last Name

Email

For what church function is childcare being requested?

Date(s) and Times Needed

What are the ages or age range of children for which care is being requested?

Who is the person or ministry paying for this event?

*This form must be received at least 2 week before the event.

* This is not a guarantee that the request can be granted. Requests will be fulfilled as events are approved by the staff and provided that we have staff available to adequately provide care according to our policies.