AEA Childcare Needed
Please complete this form for any AEA event for which you will need childcare provided.

This form must be completed AT LEAST 3 DAYS IN ADVANCE of any AEA event for which you will need childcare.

*Please plan on bringing activities for your child. We may have some activities, toys, etc. but it would be helpful if you brought things you know your child likes.

*Parent/Guardian will be responsible for special needs (diaper changing, feeding, etc.)

Email address *
Name *
Your answer
Contact email *
Your answer
Primary Contact Phone # *
Your answer
For which upcoming AEA event will you need childcare provided? (Please provide the DATE and NAME of the event.) *
Your answer
How many children will you be bringing? *
What age(s) are your children? *
Required
Does your child have any allergies or health concerns we should know about? *
Your answer
Is there anything else we need to know to properly provide your child with care? *
Your answer
A copy of your responses will be emailed to the address you provided.
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