Please fill out the form below to request a pick up.
You will be contacted within 72 hours to verify details and finalize the pick up.
How many children will be picked up? (Required)
Children's Names and Ages (Required)
List any allergies, medical conditions or special needs that our Church Staff should be aware of:
Parent or Guardian at Pick up (Required)
Parent or Guardian at Drop Off (Required)
Pick up Address (Required)
Parent or Guardian's Phone Number (Required)
Parent or Guardian's Email (required)
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Your email address will not be published. Required fields are marked *