Nursery
& Childcare Needs Form
Felicity
Seth, Nursery Coordinator.
Phone: 667-0793.
Email: mnfseth@worldnet.att.net
Please turn in this form 7-14 days prior to your event by dropping the form in the box outside of the Nursery OR turn into the Church office OR email it to mnfseth@worldnet.att.net AND annie@1freechurch.org.
Event:
_________________________________________________________
o one event o
weekly o
bi-weekly o
monthly o
yearly
Contact Person:___________________________
Phone: ______________
Date:___________________
Timeframe:_____________________
Childcare for the whole
event or just part? Explain:
______________________________
Estimated number of
children: _________________
Age range of children:
________________________
Are participants or a
committee paying for the childcare?
Money collected: ____________________
Committee: ___________________
Are you requesting a
specific room or just the childcare room? _____________________
___________________________________________________________________________
Special needs for the
event: __________________________________________________
Any other questions or
information: ___________________________________________
Requested by:
__________________________ Date:
________________________
Approved by Nursery
Coordinator: __________________________
Date: ____________
This form must be filled out for current teams and all future events.