A Right to Defiance — Childcare Info Sheet
Childcare will be provided during the daytime portion of the event between 1-6:30PM
Email address *
Guardian's Full Name *
Guardian's phone number *
How many children? *
Children's Name(s) and respective age(s) *
From what time to what time will you need childcare? *
Any dietary restrictions? Please specify
Any accessibility needs? Please specify
Any allergies? Please specify
Anything else we should know?
A copy of your responses will be emailed to the address you provided.
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