UNITED WAY OF PICKENS COUNTY - FINANCIAL EDUCATION CLASS CHILDCARE SIGNUP
Free childcare will be offered to parents participating in the Financial Literacy classes at the Rosewood Center on September 19th, from 6 PM to 7 PM. 
This service is available for children 12 years old and younger, and only for the children of adults attending the event. 
To ensure we can accommodate everyone, please note that only children who are signed up prior to the event will be watched. If interest is high, we may need to limit the number of children based on volunteer availability, with priority given to early sign-ups. 

Be sure to provide any important information about your child/children in the form. 

For questions, please email ksizemore@libertysc.com.
Email *
PARENT/GUARDIAN NAME *
PARENT/GUARDIAN PHONE NUMBER *
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT PHONE NUMBER *
HOW MANY CHILDREN ARE YOU BRINGING *
WHAT ARE THE CHILDRENS NAMES  *
IS THERE ANYTHING WE SHOULD KNOW? *
THE CHILDREN I AM BRINGING ARE 12 AND UNDER *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms