2018-2019 Childcare Request for an Event - St. Francis Parish, West Des Moines
FOR EVENT COORDINATORS ONLY.

This form is for coordinators seeking childcare for an event hosted at St. Francis of Assisi church and which has been approved by the parish office. Please submit requests at least three weeks in advance to ensure the best chance of securing space and staff. After submitting this form, you will receive confirmation from the nursery coordinator that your request has been processed.

Outside organizations or groups may request childcare for an on-site event if they agree to cover the wages of childcare staff.

For more information, read our General Information for Requesting Childcare which can be found at
https://drive.google.com/file/d/1IwzOyfl6ndO3ImNSJDpwhvVE90NJIG0y/view?ths=true

Please contact Rebecca Bahl, nursery coordinator, at 515-223-4577 ext. 132 or rbahl@saintfrancischurch.org with questions.

Event Name: *
Your answer
Department/Sponsor Group: *
Your answer
Contact Name: *
Your answer
Contact Phone: *
Your answer
Contact Email: *
Your answer
Event Date Or Event Start Date: *
MM
/
DD
/
YYYY
Event Timeframe (Note: Nursery opens 10 minutes before and will close 10 minutes after an event.): *
Your answer
Is this a reoccurring event? If so, please list additional dates. You may also email a list of these dates to the nursery coordinator.
Your answer
Which room will your event be held? *
Your answer
The nursery can accept up to 10 children below school age. If you think school-aged children will be needing childcare OR if you think there will be more than 10 children needing care, Room 2 can be reserved. Do you think Room 2 will be needed for your event? *
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