2018 Healing Conference
Child Care Request

Childcare will be offered on Friday evening, open for babies through 8 year olds, at for $5.00 per child. Slots will be filled on a first come first served basis as space allows. A snack will be provided by the church. There is no child care on Saturday.

Parent/Contact Name *
Parent/Contact Name
Parent/Contact Cell Phone
Parent/Contact Cell Phone
Enter the name and age of each child who will need child care on Friday evening.
Do any of your children have allergies? *
If you answered Yes for allergies, please provide details.
Do any of your children have special needs? *
If you answered Yes for special needs, please provide details.
Please provide any additional information that you would like us to know about your children.