CS – Childcare Commitment Form Page – Together in Holiness – Houston, TX

FOR LIFE AND FAMILY

Thank you for your interest in serving as a childcare provider for your local Together in Holiness conference! Please complete this form so we can confirm your spot to help, and your conference coordinator and/or childcare coordinator will follow up with next steps. For questions or more information, email the Conference Coordinator Alexandra Landrigan at [email protected].

Childcare Details

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Event Name: Together in Holiness Marriage Enrichment Conference

Event Date and Time: Saturday, September 28, 2024 | 7:00 AM - 4:00 PM

Event Venue: Cathedral High School, Houston, Texas

Event Address: 7726 Westview Dr, Houston, TX 77055

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Duties of Childcare Providers:

Supervise children assigned to the classroom.

Lead provided classroom activities.

Assist with lunch and snack time, as needed.

Change diapers, as needed.

Contact parents in case of emergency.

Other duties as assigned by coordinator(s).

Participation: I commit to being present for the following portion of the conference (please select one).(Required)

What is Your Classroom Preference?(Required)

Will you be 18 years or older at the time of the event?(Required)

Yes

How old will you be at the time of the event?(Required)

Youth volunteers are eligible to receive service hours. (Please indicate which option you prefer)(Required)

Compensation: I agree to receive the following in compensation for my time and services (please select one).(Required)

Safe Environment Training: It is a requirement of the diocese that all childcare providers be up-to-date on Safe-Environment Training for the Personal Ordinariate of the Chair of St. Peter. My Safe-Environment status is indicated below (please select one).(Required)

If your certification is out of date or you have not been certified, you will need to complete certification.

Please Copy and Paste This Link To Complete Your Safe-Environment Training: https://files.ecatholic.com/5119/documents/2020/1/CMG%20reg%20instructions%20NEW%20user%20Training%20US.pdf?t=1578526211000

Childcare Provider Information

First Name(Required)

Last Name(Required)

Email(Required)

This will be the conference coordinator's primary method of communication prior to the conference.

Phone(Required)

This will be the childcare coordinators' primary method of communication on the day of the conference.

What is Your Preferred Method of Contact?(Required)

Call

Text

This information will only be utilized if we are required to mail your compensation to you after the conference.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Lunch is included for providers assisting for a full day shift.

Meal Choice

By signing this form, I commit to serving as a childcare provider at the Together in Holiness conference for the length of time indicated below. I acknowledge that, if I am no longer able to serve in this capacity, the date by which I must cancel this commitment is Friday, September 13th. Further, I understand that my role on the day of the conference may include, but not be limited to, the duties of childcare providers listed below, and that my preference for the room in which I am placed will be taken into consideration but is not guaranteed. I accept to be compensated in the form indicated below. Please type your name as your signature that you acknowledge the above.(Required)

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