Child Care Inquiry Request Form

Service Unit 738: Child Care Request Form

Cost:

$2 per child, if registered 7+ days in advance of the meeting

$3 per child, if registered 1-7 days in advance of the meeting

Rules:

NO refunds or carryovers will be granted!
Sign-up # of children coming one week prior to meeting, in order to allow us to provide adequate number of babysitters.
Late sign ups (less than one week prior to the meeting) will be charged $3, instead of $2. Please select the correct option.
All children ages 3+ attending with parents going to the Leader Meeting MUST be included in the babysitting program. Please plan accordingly. This is the requirement from Council allowing us to offer babysitting services at our meetings and helps limit interruptions during the meeting.
No babysitting is available for children under 3 years of age (Children under 3 will need to stay with their parent)
Parent MUST check in child(ren) with Girl Scout babysitter prior to going to meeting
Parent MUST check out child(ren) with Girl Scout babysitter prior to leaving

Troop Number *

Parent/Guardian Name *

First Name Last Name

E-mail *

Phone Number *

Area Code Phone Number

January Meeting Cost *

February Meeting Cost *

March Meeting Cost *

April Meeting Cost *

May Meeting Cost *

June Meeting Cost *

Total Due *

Child #1 Name *

First Name Last Name

Age *

Gender *

Female Male

Registered Girl Scout? *

Yes No

Child # 1 Meetings Requesting Childcare *

January February March April May

Child #2 Name

First Name Last Name

Age

Gender

Female Male

Registered Girl Scout?

Yes No

Child # 2 Meetings Requesting Childcare

January February March April May

Child #3 Name

First Name Last Name

Age

Gender

Female Male

Registered Girl Scout?

Yes No

Child #3 Meetings Requesting Childcare

January February March April May

FOR ALL CHILDREN LISTED (Inc. Name) --- Please list any physical/medical limitations (food is not provided by sitters)

Total Due:

USD Babysitting