Childcare Request Form for The Mazals 2019
Please note that childcare will be on a first-come, first-serve basis and unless you receive email confirmation from us that you have a space, we cannot guarantee your spot. At this point we would like to be able to provide child-care for all ages, but we may have to make decisions around that once we see what the needs are.

We will have a designated space for childcare at El Museo del Barrio and JFREJ will have two childcare providers through Beyondcare Coop on site from 5:30 to 9;30pm. Please pick up your child by 9:30.

Please also answer the following questions to secure your spot and make sure we are best equipped to make sure your kids have a good time! If you have childcare questions email mazals@jfrej.org
What is the full name of the responsible adult who belongs to each child *
Your answer
What is the cell phone # of the responsible adult? *
Your answer
What is the email of that same adult? *
Your answer
Please give us an emergency name and contact in addition! *
Your answer
I affirm that I understand that I need to pick up BY 9:30 pm on the night of the December 19th! *
Required
19th? *
Please list the names, ages, and gender pronouns for all kids you want us to keep track of *
Your answer
Please let us know about any food allergies, medications, or medical conditions that we need to be aware of, with the name of the corresponding kid!
Your answer
Do you have other notes to make sure you and your kids people have the best possible time?
Your answer
Childcare Room at El Museo
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