Childcare Request Form/Request Cancellation Form

Please use this part of the form to request childcare for a UUCB event. Note that all requests are subject to the availability of staff; requests made at least 2 weeks in advance are much more likely to be possible! If your plans change, please let us know by filling out the lower portion of this form as soon as you are able.

Primary Contact Email Address: Please enter your email address

Primary Contact Name: First and Last Name

Event Requiring Childcare: What event will parents be attending?

Date and Time of Event: Please include start and end time

Number of Children (if known): Approximately how many children do you expect?

Age Range (if known): How old are the children expected to attend?

IF FILLING OUT CANCELLATION FORM: Reason for Cancellation?

The event itself is cancelled

No attendees need childcare anymore

I no longer need childcare but other attendees may

Other

Any additional info you would like us to know?

When you submit this form, you will receive an email confirming your entries.