childcare

Name *

First

Last

Childcare Information:

Please note this form will have to be submitted for EACH child that you desire childcare for. Available for Newborn - 5 years old ONLY.

Email *

Phone Number *

Child's Birthday (mm/dd/yyyy) *

Child's Name *

Does your child have any food allergies? *

Yes
No

If yes, please describe below.

Session Selection

Select your child's age under the night session you are wanting to register them for. If their age range is not available, then registration is closed for that room due to capacity.

Friday Night

3-24 Months - $ 5.00
2-3 Years Old - $ 5.00
4-5 Years Old - $ 5.00

Saturday Night

3-24 Months - $ 5.00
4-5 Years Old - $ 5.00

Sunday Night

3-24 Months - $ 5.00
2-3 Years Old - $ 5.00
4-5 Years Old - $ 5.00

Stripe Credit Card *

Card

Name on Card

Total

$ 0.00

Childcare registration

Childcare Information:

Session Selection