Child Care Fundraiser Registration

Please fill out this form and click submit.
Saturday, December 8th, Mount Bethel Youth Group will be offering an evening of affordable childcare for the community from 4:00-9:00pm at Mount Bethel Church (1270 Belvidere Corner Rd.)
Any families interested in taking advantage of this event should complete this form no later than 5pm Thursday, Dec 6th.  Acceptance of late entries or "drop-in's" will be evaluated based on space and extra available supervision.
Contact Information

Child Information

$40 for one child, $5 for each additional child. (ex: 1 kid = $40, 3 kids = $50, etc- That's less than $8/hour per kid!) Children must be from the same household. 
This service is available from 4-9pm.  Recommended drop-off is 4-5, but drop-off/pick-up can be any time.  The above rate applies for any portion of the evening.

Age Range:
3 years old (must be potty-trained)
to 12 years old

Schedule of Activities:
The evening will include dinner (Pizza, chips, juice, water) snack, games, age-appropriate movie and craft activities.
Pizza, juice, water and snacks will be provided.
Please select all that apply.


Please fill out this form and click submit.