childcare request

Fill in the form below to send a childcare request form.

Name of Event *

Today's Date *

Is this a recurring event? *
Yes
No

Please list all dates childcare is needed: *

What time does the event start? *

What time does the event end? *

How many children need childcare? *

What are the ages of the children needing childcare? *

What is the name of the primary contact person? *

What is the best phone number to contact you? *

What is the best email address to contact you? *

Please provide names of children if you have them (optional).

If there are three or fewer children needing childcare, requesting childcare in your home is an option. It is the responsibility of parents or contact person for the event to arrange this directly with the childcare workers (contact church for the approved childcare worker list). The childcare worker can record hours worked on their church time card and receive payment.

Choctaw United Methodist Church

Committed, Caring Christians

Fill in the form below to send a childcare request form.