Junior Nursery Caregiver Questionnaire
Name *
Your answer
Parent Name *
Your answer
Address *
Your answer
Phone Number *
(text accessible)
Your answer
Campus *
CrossWinds Church commits to assure properly qualified and trained persons serve our nursery ministry. We also recognize that young persons can bring valuable support our nursery staff and welcome you to assist us in caring for children.
My experiences in child care include: *
Your answer
I understand the scope of my commitment:
I will always work under the care of a qualified and trained Caregiver or Assistant and will not work with children by myself alone. *
Required
I will follow all rules related to taking children to bathroom. I will not change diapers. *
Required
Signature *
Required
Date
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