Sister Clara Muhammad Sunday School

Childcare Registration

25th Anniversary Celebration & Fundraiser

Sunday, Dec 27, 2026

3:00 PM – 7:00 PM

Lawnside, NJ

We are pleased to provide supervised on-site childcare during the celebration. Please complete this form for your family. After submitting, you will be automatically directed to Eventbrite to complete payment.

Parent / Guardian Information

Parent / Guardian Full Name *

Email Address *

Phone Number *

Emergency Contact (Name & Phone Number) *

Children Information

1 child

Add each child who will be attending childcare during the event.

Child #1

Child's Full Name *

Age *

Is your child independent with toileting? *

Health, Care & Accommodations

Please let our caregivers know of any specific needs or food allergies.

Allergies & Dietary Restrictions

Special Needs & Accommodations

Authorized Pickup Persons *

List the names of anyone authorized to pick up your child(ren) from childcare.

Photo & Media Release Consent

May we photograph or record your child(ren) during the celebration for anniversary memories and community materials?

Payment Notice: Submitting this form will immediately record your registration information and direct you to our official Eventbrite page where you can purchase your event and childcare tickets.