Bethlehem Lutheran Church

Trivia Night

Trivia Night Childcare Form

Child’s Name/Nickname:

Age:

Parent(s)/Guardian(s):

Phone Number:

Child’s favorite activities/toys:

Child is upset by/does not like:

Best way to comfort child when crying:

Special notes or comments we should know:

This form must be filled out and returned at
least 3 days prior to event.

To submit this form, click the Submit button
below. The form data will load into your default
email program. Review the data and send the
message.