Faith-Based Childcare Request Form (non-military)

Faith-Based Childcare Request Form (non-military)

Night Owl Kids Care, LLC.
On-Site Childcare for Churches & Ministries

Thank you for your interest in Night Owl Kids Care. We partner with churches, ministries, and faith-based organizations to provide professional, on-site childcare that supports families while honoring your program, schedule, and values.

Please complete the form below and a member of our team will follow up to discuss your childcare needs and cost considerations.

If you are a military funded, faith-based group, please follow this link to submit your event care request here
Church or Ministry Name
Primary Contact Name

First NameLast Name
Role/Title

PastorAdministratorProgram DirectorEvent CoordinatorOther
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church/Ministry Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this the address in which you want childcare provided?

Yes, childcare will take place at the above address.No, there is a different address/location where childcare will take place.
Location where childcare will take place:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Program or Service Details
Type of Program

Ongoing Weekly Worship ServicesOngoing Bible Study/ Small GroupConvention, Conference, or RetreatTraining or Leadership EventFuneral or Memorial ServiceSpecial Service/Holiday ProgramVBSOther
Is this care needed on an ongoing basis or for a specific event?

Ongoing/RecurringOne-Time EventExploring a Trial Program (1-3 month options)
Ongoing/Recurring Services That Need Care*
Exploring a Trial Program: Please list the Program you Want Served*
One Time Event (Conferences, Retreats, Special Events, VBS)*
Space and Setup
Available Space for Childcare- Where do you plan to provide childcare?

We have a dedicated nursery or childcare room(s) at the churchWe have a dedicated childcare space at the event venue that Night Owl Kids Care will need to set upWe have a Fellowship hall/classroomWe have a Multi-purpose space (set up by Night Owl Kids Care and restored after each use)Not sure-open to guidance
Name of the assigned venue room for childcare
TBA if unknown at this time
Please list the room numbers and the assigned ages per room (nursery, toddlers, pre-k, school age, etc. )
TBA if unknown at this time
Timing and Planning
When are you hoping to begin childcare services?

As soon as possibleWithin 30 days1-3monthsPlanning for a future date or specific date listed above
Additional Information
Is there anything you'd like us to know about your program or preferences?
Are there specific trainings or requirements our staff would need to complete through your office outside of normal Night Owl Kids Care Trainings? (Site Safety/Emergency Preparedness, NDAs, Social Media policies, access badges, etc.?)
Night Owl Kids Care staff are interviewed, hand-picked, vetted (finger printed, Federal, State, and Local Background clearances), annual child protection trainings, Pediatric & Adult CPR/First Aid/AED, chapel etiquette, early childhood competency, food handlers, client privacy, and many more. Please visit our website or contact our office for the full training list.
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Faith-Based Childcare Request Form (non-military)

Program or Service Details

Space and Setup

Timing and Planning

Additional Information