Nursery Request Form

Name of Person Filling out Form

This address will receive a confirmation email

Phone

Name of Group Requesting Nursery Care

Date of Event Requesting Nursery Care

Time of Event Requesting Nursery Care

How many children will most likely need care? AND Approximate ages. (This helps determine how many nursery staff are needed.)

Is a snack needed during event? Snacks provided by the nursery may not be suitable for all children as it is impossible to eliminate all allergens. Children with allergies are welcome to look at the label and bring their own snacks as needed.

Yes No

If yes, will your group be providing the snack or does the nursery need to provide?

Is there any other information you would like to share?

Description

Nursery Staff should be in the Nursery 10-15 minutes prior to the event.
Please be respectful of the nursery staff's time by ending at the requested time.

Nursery is intended for Newborn-PK (If you have additional needs pleas let us know.)

If you have any questions or would like to discuss Nursery Care further please contact:
Kara Mendez kara@atonementmuskego.org

Please fill out this form and click submit.

Nursery Request Form

Description

Please Fix the Following