Church Care Request Form
Contact Information
Name
*
First Name
Last Name
Church
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Position within the ministry:
*
Will you be leading the event?
*
Yes
No
If you are not the event leader, please provide your name below.
First Name
Last Name
Position within the ministry:
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Booking Information
What type of services are you requesting?
*
Please Select
Recurring Sunday Morning Childcare
Holiday (Easter, Christmas, etc.)
Baptism
Women's Ministry Event
Children's/Teen Event
Ceremony
Other
If other, please describe:
Select the date and time when you would like the above services to begin:
*
Is this is a recurring booking? If the answer is no, you may skip the next question.
*
Yes
No
If this is a recurring booking, please provide the date and time for each request.
Number of caregivers needed
*
How many services are you going to need covered?
*
Where will the sitters serve? Select all that apply.
*
Special Needs Ministry
Nursery (Infants to Age 2)
Preschool (Ages 3 to 5 )
Elementary Small Group (K - 5th Grade)
Middle School Small Group (6 - 8 Grade)
High School Small Group (9 - 12 Grade)
Describe in detail what the sitters are expected to do.
*
How much will the sitters be paid per hour?
*
Who will be responsible for compensating the sitters after the event?
*
First Name
Last Name
Would you like to share any additional information about your children's ministry or event with us?
Submit
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