1/13 FTFDC Manassas Support Group Childcare Registration

Prince William County Support Group
Childcare Registration Form

Second Monday of every month
Monday, January 13, 2025 at 6:30 - 8:30pm
Hosted at Community Bible Church
10525 Battleview Parkway⬩Manassas, VA 20109

Childcare registration is REQUIRED and will close THREE days before support group
to ensure we have enough childcare volunteers to care for your children.

We do ask that if you are unable to attend that you please notify our Program Coordinator, Tricia Jewell at tricia.jewell@fosterthefamily.org.

This will give us the ability to offer your child's spot to another family that is on our waitlist.

Parent Name*

First NameLast Name

Parent E-mail*

example@example.com

Parent Phone Number

Please enter a valid phone number.

Date*

Date

Do you need to register for childcare? *

Children's Information *please add a row for each child you are registering.*

Important Details

We are so excited to be able to provide childcare while you enjoy an evening to connect with other foster, adoptive, and kinship moms at our Foster the Family support group. We strive to provide an environment where you can confidently drop your children off in a safe, fun, trauma-informed space. We will have fun activities and snacks for your child(ren).

A few things to know:

*Childcare is for any and all of your children (adoptive, foster, biological, etc) ages 0-12.

*What to Bring:

A Labeled Bag for your child packed with:
- A change of clothes
- A water bottle
- A comfort item (if necessary)
- Diapers/Wipes (if necessary)
- A Snack (if needed, your child will be given a snack unless otherwise instructed)

*Please label items

We understand that things come up and you may not be able to attend at the last minute, we ask that you let us know ASAP. Please e-mail Tricia at tricia.jewell@fosterthefamily.org with any changes to your registration.

Children's Information*

Is there any special information, behaviors, calming techniques that we should be aware of to help us best care for your child(ren) during this time?

Family Information