Berkeley Support Group Adult Registration and Childcare Request

Register all adults attending and for free childcare, which is available by RSVP only.

Please complete the form below by the Monday prior to the meeting to reserve childcare. If it’s later or you need to cancel, please email cristin@helponechild.org to check if there’s space.

Berkeley Support Group Adult Registration and Childcare RSVP

Email*
Parent(s) Name:*
First Last
Parent(s) Name:
First Last
Month RSVPing for*
Total Number (of children needing childcare)*
Child #1 Name*
First
Child #1 Age*
Please enter a number from 0 to 18.
Child #2 Name*
First
Child #2 Age*
Please enter a number from 0 to 18.
Child #3 Name*
First
Child #3 Age*
Please enter a number from 0 to 18.
Child #4 Name*
First
Child #4 Age*
Please enter a number from 0 to 18.
Child #5 Name*
First
Child #5 Age*
Please enter a number from 0 to 18.
Child #6 Name*
First
Child #6 Age*
Please enter a number from 0 to 18.
Any Additional Childcare notes or needs to help support your child while in childcare:
Does your child have any food allergies or dietary restrictions? If yes, please provide a snack in place of what is offered during childcare.

Berkeley Support Group Adult Registration and Childcare Request

Register all adults attending and for free childcare, which is available by RSVP only.

Berkeley Support Group Adult Registration and Childcare RSVP

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