CROSSPOINT CHURCH - Time Out for Moms

CROSSPOINT CHURCH Time Out for Moms starts on Thursday, September 19 at 9:30 AM. Childcare is available for babies and children through PreK.

COST - Pre Pay for the entire year and save! You can pay on the first meeting day via cash or check, or mail a check to 11000 W Oklahoma Avenue, West Allis, WI 53227.
TIME OUT 2019-2020 Full Year - $30
TIME OUT Monthly - $5

Your Information

Please tell us about yourself.

Name

This address will receive a confirmation email

Cell Phone

We will use your cell phone number to contact you during Time Out if your child needs you. Your child's well-being and safety is our number one priority.

Would you like to receive reminders via text messaging?

Please select all that apply.

Yes No

Address

Will you be bringing children to Time Out?

Please select one option.

Yes No Occasionally

Childcare Information

For your child's safety, each of our caring volunteers has completed a background check. If you will be checking children in during Time Out (even occasionally), please provide us with some information about your child so we may provide the best care possible. Thank you.

Child 1

Name

Date of Birth

Does your child have any allergies?

Please select one option.

Yes No

If yes, what is the allergy and are there any special instructions?

Can your child have a snack?

Please select one option.

Yes No

Child 2

Name

Date of Birth

Does your child have any allergies?

Please select one option.

Yes No

If yes, what is their allergy and are there any special instructions?

Can your child have a snack?

Please select one option.

Yes No

Child 3

Name

Date of Birth

Does your child have any allergies?

Please select one option.

Yes No

If yes, what is the allergy and are there any special instructions?

Can your child have a snack?

Please select one option.

Yes No

CROSSPOINT CHURCH - Time Out for Moms

Description

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