Mobilize OH Child Care Request

Sunday, March 21st 8:30a - 4:30p | Please complete this form for each child who will need child care during the Mobilize OH Event on March 21st. *space is limited for child care, foster families will be given priority.

Lunch will be served for children.
Child Information:
 
 
 
Parent Information:
 
 
 
 
 
Parent Release
In case of emergency, I hereby give permission to transport my child to the nearest hospital/emergency center for emergency medical treatment to be decided by the doctors and supervisors of Church of the Lakes. I will be contacted as soon as possible.
Please select all that apply.
 

Description

Sunday, March 21st 8:30a - 4:30p
Please complete this form for each child who will need child care during the Mobilize OH Event on March 21st. *space is limited for child care, foster families will be given priority.

Lunch will be served for children.