Childcare Request Form [NLG #Law4thePeople Convention 2019]
If you would like to request childcare during the 2019 #Law4thePeople Convention please complete this form by July 31, 2019. We will try our best to fulfill all childcare requests, however, it is not guaranteed.
Section I. Parent/Guardian Information
Parent/Guardian Name(s) *
Your answer
Gender Pronouns
(e.g., they, she, he)
Your answer
Parent Phone number(s) *
Your answer
Parent email address *
Your answer
Which days of the Convention do you need childcare? *
Required
Section 2. Child Information
Child 1 Name and preferred gender pronoun(s) *
Your answer
How old is this child? *
Your answer
What activities does your child enjoy?
Your answer
Does your child have any allergies or dietary restrictions?
Your answer
Doe your child have any medical conditions we need to be aware of?
Your answer
Does your child have any special needs or behaviors we need to be aware of?
Your answer
Is your child toilet trained? If not, are they trying to use the toilet?
Your answer
Is there any other information about your child that you would like to share with us?
Your answer
Child 2 Name and preferred gender pronoun(s)
Your answer
How old is this child?
Your answer
What activities does your child enjoy?
Your answer
Does your child have any allergies or dietary restrictions?
Your answer
Does your child have any medical conditions we need to be aware of?
Your answer
Does your child have any special needs or behaviors we need to be aware of?
Your answer
Is your child toilet trained? If not, are they trying to use the toilet?
Your answer
Is there any other information about this child that you would like to share with us?
Your answer
Child 3 Name and preferred gender pronoun(s)
Your answer
How old is this child?
Your answer
What activities does your child enjoy?
Your answer
Does your child have any allergies or dietary restrictions?
Your answer
Does your child have any medical conditions we need to be aware of?
Your answer
Does your child have any special needs or behaviors we need to be aware of?
Your answer
Is your child toilet trained? If not, are they trying to use the toilet?
Your answer
Is there any other information about your child that you would like to share with us?
Your answer
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