LEADERSHIP NIGHT CHILDCARE SIGN-UP

note: you must be at least 14 years of age to serve as a childcare volunteer!

january 27, 2019
5:00pm - 8:00pm

Name *
Name
Date of Birth *
Date of Birth
Example: 15
Chets Campus *
Select which campus you attend.
Grade for 2018-2019 School Year (or college/adult) *
Your Cell Phone *
Your Cell Phone
Emergency Contact Cell Phone *
Emergency Contact Cell Phone