Valentine's Day Child Care
Enjoy a night out as a couple and not have to worry about a baby-sitter! We are offering FREE childcare on Thursday February 14 from 5:00-8:30 PM. We will have a light supper and activities planned for the children.
Heritage Baptist Church 2015 Rice Lake Road Duluth, MN 55811. Questions? 218-341-7091.
How many children will need childcare?
Your answer
What are the names and ages of the children?
Your answer
Are there any allergies or physical needs we should know about while caring for your children?
Your answer
Parent or Guardian's Name
Your answer
Parent or Guardian's Phone Number
Your answer
Parent or Guardian's Email
Your answer
Medical Release Form
Heritage Baptist Church has my permission to obtain treatment for my above listed children, when I cannot be reached or if a delay in reaching my child would be dangerous for him/her.
Preferred hospital
I understand that I assume financial responsibility for any treatment or injuries sustained by my child while he/she is in child care.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service