Indigrow Child Care Registration
Friday, January 23rd from 5:00-7:00
Parent/ Guardian CONTACT INFORMATION
Parent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Child's Name
First Name
Last Name
Child's Birthdate
Child #2 Name
First Name
Last Name
Child # 2 Birthdate
Back
Next
EVENT INFORMATION
This childcare is provided for families who are attending Indigrows's Event from 5:00-7:00. By signing this form I agree I am attending the event from 5:00-7:00, will remain at the location of the event, and will pick my child up after the event ends at 7:00. I agree that the phone number given is one that the childcare staff can call if a child needs to be picked up. Reasons a child would need to be picked up: Illness, unsafe behavior, inconsolable for more than 15 minutes.
Parent Agreement -
Submit
Should be Empty: