Childcare RequestMust be submitted to Nursery Director, Zoe Dill, 2 weeks before childcare is needed. Thank you! Department requesting childcare * Contact Person: * Account to be charged: * Activity: * Date of activity: * MM DD YYYY Is your activity on campus? * Yes No Location? * Event Start Time + End Time * Childcare Start Time + End Time * # of workers needed? * Minimum of 2 workers per group Approx. number of children expected? * Does dinner need to be served? * NOTE-if you would like dinner to be served the cost will need to be included in your event budget. Yes No Other important information: Will we need to provide food, etc. Thank you!