Church Registration Form Please select your location*TucsonPhoenixDFWChurch Name*Main Contact Name:* First Last Department/TitlePhone*Email* Secondary Contact NameDepartment/TitlePhoneEmail Address* Street Address City State / Province / Region ZIP / Postal Code Detailed Directions from Major Intersection*Care InformationPlease describe your existing security measures for your child care programming:*Please list any polices or procedures our team would be expected to follow:*Please describe the role you would like our team to play while on-site:*Please describe your organization's culture and any values our team should be aware of:*How would you like our nannies to approach behavioral modification, if necessary:*Please describe your sick policy for child care rooms/events:*What is your current process for incident reporting?*Please describe your “cry policy” (i.e. at what point would you like parents to be contacted and how?)*Explain your check-in and check-out procedures:*What ratios do you adhere to for infants (0-12 months)? Toddlers (1-3 years)? Ages 4+?*Do you have a dress code or any preferences as it pertains to what our nannies will wear?*By default, our team wears agency uniform.What other information would you like to share with us to help us best serve you?* This iframe contains the logic required to handle Ajax powered Gravity Forms.