Child Care Form (Portage Lakes-Open Hands Open Hearts)
Please fill out the questions below so our team can ensure we have proper coverage during the event.
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Email *
Caregiver Name(s): (Last, First) *
Date of the Event *
MM
/
DD
/
YYYY
How Many Children Need Childcare? *
Are there any allergies or additional notes you'd like to pass along?
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