NRUMC Childcare Registration
Please use this form to indicate your need for childcare for various church activities on Sunday evenings and Tuesday mornings.
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age (as of August 31, 2018) *
Your answer
Child's Grade Level (2018/2019) *
Your answer
Allergies/Medical Concerns/Special Needs? *
Your answer
Parent/Guardian 1 Full Name *
Your answer
Parent/Guardian 1 Phone *
Your answer
Parent/Guardian 1 Email (if different from email previously entered)
Your answer
Parent/Guardian 2 Full Name
Your answer
Parent/Guardian 2 Phone
Your answer
Parent/Guardian 2 Email
Your answer
At which time(s) will you require childcare? *
Sunday evening childcare is available for parents who may be attending various Bible studies and classes, as well as for parents who may have children in multiple musical/creative groups which have differing ending times.
Next
Never submit passwords through Google Forms.
This form was created inside of North Raleigh United Methodist Church. Report Abuse - Terms of Service