Children's Ministry
SHPC

SHPC Childcare Request Form

You are responsible for reading, understanding and following the SHPC Childcare policies and procedures before requesting care.

Please fill in the below fields. You will be contacted directly to confirm that your childcare is in place.

Group requesting childcare:

Contact person's name:
Contact email address: Contact phone number:

Date(s) childcare is needed:

Number of children who will require childcare:
Infants (0-12 months): Toddlers (13-24 months):
Preschoolers(2-4 years): Elementary schoolers (kindergarten-3rd grade):

I understand that each family in my group will be asked to pay $2 per child (not to exceed $5 per family) per class/meeting.

Any other special requests: