Paid Childcare Request — The Action Church

Paid Childcare Request

Please submit ONE OF THE requests at least 1 WEEK in advance.

This form will help us to assist you in obtaining paid childcare for your events. Please be sure to obtain budget approval prior to submitting this form. Please submit requests at least one week prior in order for us to guarantee your event will be covered.

Stand Alone Event

Name

First Name

Last Name

Email Address

Reason/Event

Event Location

Date

MM

DD

YYYY

Time Frame

Example: 1:00pm - 7:00pm

How many children will be there?

Approved By:

Recurring Event

Name

First Name

Last Name

Email Address

Reason/Event

Event Location

Frequency of event

Time of recurring event

How many children will there be?

Approved By: