Child Care Request
 
FUSE, Inc.
P.O. Box 314
Greenfield, IN 46140
(317) 462-9064
 
 
 
 
 
 
 
 
 
 
 
 

 

Please provide the following information regarding your need for child care during a FUSE event;


Your name:
Your email address:
Your phone number:

 

Number of Children Needing Child Care:

Please specify childrens' ages in space provided:

Event Name:

 

Comments: