Church Nursery Request Form


Please submit this form online to the Preschool Nursery Coordinator at least one week prior to the event to give ample time to set up the nursery.

Event:

Organization

Event Coordinator:

First Name
Last Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Date of Event:


Event Location (If the event is off church property or not during normal church hours, security needs to be present.):


Event Time:


Time you need the nursery to open (in general, we are here 15 minutes prior to the start of an event and 15 minutes after the event ends):


Approximate number of children (please include names and ages if possible):