MONTHLY MEMBERSHIP MEETING
CHILDCARE RSVP

RSVP'S WILL BE UNTIL WE ARE FULL. USUALLY THIS IS WITHIN THE FIRST 24-48 HOURS OF OPENING.

Currently any children with Special needs will be taken a case by case basis, depending on their need requirements. Please email Childcare Chair for more details.

REMINDER: CHLDCARE IS NOW RE-LOCATED AT DCF - ALL CHILDREN MUST CHECK IN THERE!

* = Required Field
Month:	January February March April May June July August September October November December Month *		Year:	2013 2014 2015 *

Parent's First Name:

*

Parent's Last Name:

*

Phone#:

*

Cell#:

*

Email Address:

*

Please list only the FIRST NAMES of the children you are registering.

First Name #1:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex

First Name #2:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex

First Name #3:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex

First Name #4:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex

First Name #5:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex

First Name #6:

Age: Age <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Sex: M F Sex