Childcare Request Form

To request childcare for any church event, please fill out the form below. Please request childcare for any event at least two weeks ahead of time to give our childcare coordinator enough time to schedule a childcare provider. If you have any questions, please contact Melinda Brooks at (206) 661-0113 or at melinda@saltwaterchurch.org .

Name: *

Home phone: *

Work or cell phone: *

Email: *

Name of the event for which you are requesting childare:

Location of event:

Please specify whether this event will be held at the church or at an off-site location.

Date of the event:

Start time of the event:

Finish Time of Event:

Names and ages of children:

Additional information:

Is there any additional information that is important for us to know about your childcare request?

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Saltwater Church...A Unitarian Universalist Congregation

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Childcare Request Form