Climate Solutions Summit Childcare registration form
We are providing childcare by licensed childcare providers at the climate solutions summit.
To ensure we have the appropriate provider to child ratio, all children must be pre-registered by Tuesday, October 24, 2017.
Parents will receive a confirmation email by Thursday 10/26.
Please fill out this form for each child who will need childcare at the summit.
Parent's first name *
Your answer
Parent's last name *
Your answer
Parent's email address *
Your answer
Parent's phone number *
Your answer
Child first name *
Your answer
Child last name *
Your answer
Child's age *
Your answer
Does your child have any allergies? *
Please list allergies here:
Your answer
Will your child need a nap? *
Is your child potty trained? *
Please share any additional information about your child here
Your answer
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