Small Group Childcare Request Small Group NamePlease enter your small group name. If you don't have a name yet for your small group, please enter "don't know yet." Small Group Coordinator First Last Small Group Coordinator Email Small Group Coordinator PhonePreferred Meeting Day Monday, 6:00 pm Wednesday, 6:00 pm Backup Meeting Day Monday, 6:00 pm Wednesday, 6:00 pm Preferred Meeting Start DatePlease select your meeting start date for your preferred meeting time. MM slash DD slash YYYY Backup Meeting Start DatePlease select your meeting start date for your backup meeting time. MM slash DD slash YYYY Meeting FrequencyHow often does your small group plan to meet? Small groups typically meet every other week during the first and third week of the month, or the second and fourth week of the month. Twice monthly on the first and third weeks. Twice monthly on the second and fourth weeks. Not sure yet. Children's InformationPlease provide information for each child in your small group that will need childcare. Add additional children by pressing the "+" button.NameAgeParent/Guardian Phone 1 (mom)Parent/Guardian Phone 2 (dad)
