Childcare Needed for the Town hall

Please fill in the form below to sign-up your child

Thank you for letting us know that you will need care for your children during this event. We are happy to provide care from our childcare ministry. Please let us know the date you will attend the town hall, how many children you will be leaving in our care, their names, and their ages.
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- The date you will attend the town hall REQUIRED Thursday, January 25 at 6:30p Please fill out this field.
- Name of parent while child is in our care:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Number of children you will leave in our care. REQUIRED Please fill out this field.
- Names and ages of your children REQUIRED Please fill out this field.
- Parent Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent Email address: REQUIRED Please fill out this field. Please enter an email address.
- Can child be given a snack? Yes No
- Does child(ren) have any food allergies? Please tell us more: Please enter valid data.
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Please fill in the form below to sign-up your child