Event Childcare Registration

Please complete the form below for your upcoming event. Please provide each child's full details, including their name, age, allergies, and if they have any special requirements.

Please note the number you can reach the nanny team during the event is:

757-345-8449

Parent or Guardian Name

Phone

Name of event you are attending

Child 1. Name/Age/Allergies

Child 2. Name/Age/Allergies

Child 3. Name/Age/Allergies

Child 4. Name/Age/Allergies

Aditional Information

Williamsburg Nanny Agency Childcare Waiver

I, the undersigned parent, legal guardian, or foster parent of the above-named Minor(s), hereby give my permission for my child(ren)’s participation in Williamsburg Nanny Agency Childcare at an upcoming event I am attending.

I understand that the children will be engaged in active play and crafts and fed a meal. I confirm that any information related to allergies my child/ren might have are listed above.

I have read and agree to the above

Thanks for submitting!