Epiphany Gathering: Childcare Request
We're so excited to have you join us for our Epiphany Gathering on January 28th from 4-5:30 p.m. If you would like childcare, please fill out the following form. Children will be provided a snack partway through the gathering; if your child tends to eat dinner between 4-5:30 p.m., please feed him/her beforehand.
Parent or Guardian's Name:
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Parent or Guardian's cell number:
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Child #1: Name:
Your answer
Child #1: Age:
Your answer
Child #1: Please note allergies and/or other information:
Your answer
Child #2: Name:
Your answer
Child #2: Age:
Your answer
Child #2: Please note allergies and/or other information:
Your answer
Child #3: Name:
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Child #3: Age:
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Child #3: Please note allergies and/or other information:
Your answer
Child #4: Name:
Your answer
Child #4: Age:
Your answer
Child #4: Please note allergies and/or other information:
Your answer
Thanks for RSVPing for childcare! We're excited to spend time with you and your little ones.
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