West Franklin Childcare Registration
for Sunday evening LIFE Groups meeting on or off campus

Childcare is Sunday nights 4:45 PM - 7:30 PM
Available for ages 12 and under.
Any questions can be directed to
Lindsay Gordon, Administrative Assistant
Parent's Last Name *

Parent's First Name *

Parent's Phone Number *

Date for Requested Childcare *

Which LIFE Group are you associated with? *

How many children are you registering for childcare?

Babies 6 weeks - One year old

2 - 4 years old

Kindergarten - 5th grade

Are there any allergies, special needs or medical issues we need to be aware of?

Please include the name of the child along with detailed instructions.
Emergency Contact Name & Phone Number *

Please provide another contact in case we can't reach you.
By submitting this form, I, {{answer_41054559}} {{answer_41054550}}, am requesting a spot for my child(ren) for childcare on {{answer_41054629}}.

I understand that in order to ensure the appropriate number of childcare workers are present, I must submit my registration for childcare one (1) week in advance. *

For example, if you request childcare on January 8, your registration will be due on January 1.
I understand that any request for childcare made after the one (1) week deadline could be denied. *

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