Drop 'n Shop Babysitting 2017
Please fill out the form below to register for Drop 'n Shop Babysitting on December 2nd, 12-5pm. Please plan to bring a non-peanut snack for your children and inform us of any special circumstances below. All babysitters will be Safe and Sacred trained through the Diocese of Lafayette. Questions? Contact Sarah Wallace: swallace@parish.dol-in.org.
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Cell Phone Number *
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Number of children I will be bringing: *
Children's Information
After filling out the information for each child who will be in attendance, please scroll to the bottom and hit "Submit" to complete your registration.
1. Child's Name *
Your answer
Age *
Your answer
Does your child have any special needs or dietary restrictions? *
Your answer
2. Child's Name
Your answer
Age
Your answer
Does your child have any special needs or dietary restrictions?
Your answer
3. Child's Name
Your answer
Age
Your answer
Does your child have any special needs or dietary restrictions?
Your answer
4. Child's Name
Your answer
Age
Your answer
Does your child have any special needs or dietary restrictions?
Your answer
5. Child's Name
Your answer
Age
Your answer
Does your child have any special needs or dietary restrictions?
Your answer
6. Child's Name
Your answer
Age
Your answer
Does your child have any special needs or dietary restrictions?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms