2025/2026 Adams County Parent Cafe Registration Please Note: Each adult must complete their own registration form. If more than one adult from your household is attending, each person must submit a separate response. Question Title * 1. Contact information Name * Mailing Address * City * ZIP/Postal Code * Email Address * Phone Number Question Title * 2. Please list any accommodations needed for you to fully participate in Parent Cafe. Reasonable accommodations will be considered and provided as available. Question Title * 3. Sessions I would like to attend: Wednesday 9/10/25 Wednesday 10/8/25 Wednesday 11/5/25 Question Title * 4. Dates I would like to request child care for my child/ren under age 10 years: 9/10/25 10/8/25 11/5/25 NA Question Title * 5. Ages of children attending: Child 1 age: Child 2 age: Child 3 age: Child 4 age: Please tell us anything we need to know to care for your child: Question Title * 6. Requests for child care are not guaranteed due to limited availability. Requests will be confirmed one week before each cafe.Please let us know how best to contact you regarding child care availability: Text at the phone number provided Call at the phone number provided Email at the address provided For registration questions, please contact Childcaring at 800-628-8534, or email directly to tracy@childcaring.org. Done