Childcare Registration Childcare Childcare Registration FormSupervised nursery ages newborn – 4. Children’s program ages 5-12. $25 per family. $5 for each kid over 2 kids. $10 for Friday night only childcare.Please don’t fill out this form until you have registered yourself (and your spouse) for this conference.Your Name(Required) First Last What Email Address Did You Use for YOUR Registration?(Required) When would you like childcare?(Required)Friday night onlyAll day Friday and SaturdayHow many kids will be joining on Friday night only?(Required)1-3 children4 childrenHow many kids for the entire weekend?(Required)2 kids or less3 kids4 kids5 kids6 kidsThe kids will be provided with a weekend full of learning more about Jesus, playing games, making friends and meals.Child #1(Required) First Last Child #1 Age(Required) newborn – Supervised Nursery 3 – 12 months – Supervised Nursery 12 – 36 months – Supervised Nursery 4 years – Supervised Nursery 5 – 12 years – Children’s ProgramDo you have another child to register? Yes NoChild #2(Required) First Last Child #2 Age(Required) newborn – Supervised Nursery 3 – 12 months – Supervised Nursery 12 – 36 months – Supervised Nursery 4 years – Supervised Nursery 5 – 12 years – Children’s ProgramDo you have another child to register? Yes NoChild #3(Required) First Last Child #3 Age(Required) newborn – Supervised Nursery 3 – 12 months – Supervised Nursery 12 – 36 months – Supervised Nursery 4 years – Supervised Nursery 5 – 10 years – Children’s ProgramDo you have another child to register? Yes NoWe will be in touch if you choose yes.While in our care, does your child/ren(Required) sit up on his/her own need help standing / walking have a bottle or sippy cup need to be fed (provided by you) enjoy a snack (provided by you) want to nap need help going to the bathroom none of the aboveWhile in our care, does your child/ren(Required) sit up on his/her own need help standing / walking have a bottle or sippy cup want to nap need help going to the bathroom none of the aboveDiaper change(Required) no, thank you (only if needed) yes, please change my child before I pick them up my child does not wear a diaper OtherHow Can We Reach You?Just in case we have questionsPhone(Required)Preferred Method of Contact(Required)TextPhone callIn personAnything else we should know?Your Comments, Questions, Further InformationWe are ready and waiting to love your babies, toddlers, and young children so you (and even your husband) can enjoy this weekend. Our homeschool conference is here to equip and encourage home educating families and loving your children is one way we do that!Total Credit Card
