EQUIP Childcare Registration
Please fill out this form and click submit.
You are registering your child(ren) for childcare for the EQUIP event scheduled for
Sunday, April 26
at 5:30 pm.
Ages:
Birth - 3rd grade
Childcare Fee:
$5/child - max $10/family
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Number of Children Needing Childcare
*
List Children's Name - Age - Allergies
*
Childcare Payment
Single child ($5)
Family ($10)
Single child ($5)
Family ($10)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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Submit
Description
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