UUCM Childcare Request Form
"Exploring faith. Practicing inclusivity. Living justice."
The "Unitarian" Harshman panel, one of 16 glass mosaic panels lining our sanctuary.
Personal Information
Your name (first and last) *
Your answer
Phone number *
Your answer
E-mail address *
Your answer
Event Information
What event are you requesting childcare for? *
Your answer
On behalf of which UUCM Committee or Program are you requesting childcare? *
What is the date of your event? *
MM
/
DD
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YYYY
What time is your event scheduled to begin? *
Time
:
What time is your event scheduled to end? *
Time
:
Approximate number of children expected: *
If you're unsure, please select your best guess.
Approximate age of the expected children:
If you're unsure, please select your best guesses. Select all that apply.
Will your event fall over a meal-time or go longer than 3 1/2 hours? *
If yes, please remember that you are responsible for providing a meal or snack for the children and childcare providers.
If you find out ahead of time that no one who is attending will need childcare, please call or text the Childcare Coordinator at (812) 340-5082 so that she can cancel the scheduled staff.
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