UUCM Childcare Request Form
"Exploring faith. Practicing inclusivity. Living justice."
Your name (first and last)
What event are you requesting childcare for?
On behalf of which UUCM Committee or Program are you requesting childcare?
Adult Religious Education
What is the date of your event?
What time is your event scheduled to begin?
What time is your event scheduled to end?
Approximate number of children expected:
If you're unsure, please select your best guess.
Less than 5
Five to Ten
Ten or more
Approximate age of the expected children:
If you're unsure, please select your best guesses. Select all that apply.
Infant to Two years old
Three to Five
Five to Ten
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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This form was created inside of Unitarian Universalist Church of Muncie.
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