CHILDCARE REQUEST GUIDELINES: Step 1: Please fill in the appropriate information to the best of your ability. This form will help determine the needs for your event. This form is due 30 days prior to your event. Step 2: If your request has been approved, a meeting must be scheduled no less than 14 days prior to your event to discuss details. I agree * = Required Field Please leave this field empty. First Name * Last Name * Your Email * Childcare Event Name * Childcare Event Description * Campus Location(s) * Is this a recurring event? * YesNo Childcare Date of Event * Childcare Time of Event * Is this a Mount event? * YesNo Ministry Department Outside Group Approximate amount of participants Special Needs Additional Comments