Praisetab - CastChildcare

Child Care Registration Form

Please complete all sections below. This form is used for children involved in a production and must be submitted prior to participation.

PLEASE COMPLETE ONE FORM FOR EACH CHILD

Child Information

First Name

Last Name

Birthdate

Production Participation

Is the child in the production?

Yes

No

If yes, what is their role in the production?

Parent/Guardian Information

First Name

Last Name

Phone Number

Additional Pick-Up Person (Not in Production)

First Name

Last Name

Phone Number

Medical Information

Does the child have any allergies?

Are there any medications the child requires?

Additional Information

Please provide any other information that may help us care for your child:

Instructions for 12/14 Childcare

If you plan to pick up your child AFTER THE FIRST SHOW on 12/14 and then return between shows, please indicate your pick-up and return times on the line below the schedule. This helps us ensure your child is ready for you and supervised at the correct times.

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