U N I TA R I A N U N I V E R S A L I S T

C O N G R E G AT I O N O F M I A M I
CHILDCARE REQUEST FORM
To request childcare for a congregational meeting or event,
please complete this form and email it to Barbara Jimenez at
dreuumiami@gmail.com at least one week before to the
date care is required. Please answer the following:

1- Committee or Event Name:

2- Event or Meeting Date and Time (from-to):

3- If this is an on-going meeting or event, please specify
frequency or ALL dates needed:

________________________________________________________________________
4- How many children will you need care for and their age/s:

5- Special requests or instructions:

Notes & Instructions:
Requests that do not specify needed information cannot be honored.

You will receive a confirmation email when the arrangements have
been made. If you do not receive a confirmation and wish to check on
the status, please contact Barbara Jimenez at above email address.
***The deadline to submit a request is one (1) week before the event.

Unitarian Universalist Congregation of Miami, 7701 SW 76th Ave., Miami, FL 33143
(305) 667-3697 www.uumiami.org