2006 Ft Knox Army Family Action Plan Conference Child Care Request Form
October 24-26, 2006
Click here to return to AFAP Event Page

Child Care Request Form Due by Jan 6

Name of Delegate

Day Time Phone Number

Child care is provided at not cost to delegates on the days of the conference. Delegates must use the on-post Child Development Center or a registered Family Child Care Provider to receive free child care.
In the following box please include Child's Name, Age, School Program (SAS, CDC, Discovery (am/pm)) and name of school:


  After submitting this form, please return to AFAP Event Page to obtain a Child Care Transportation Form. Child care request forms. The Transportation form will need to be returned to the AFAP office at ACS Bldg 77 or faxed to 502-624-6223.

Any questions regarding this registration should be referred to the AFAP office at 502-624-6291/8300.

DATA REQUIRED BY THE PRIVACY ACT OF 1974: AUTHORITY: 5 USC 301, 10 USC 3013, and EO 9397 (SSN).  PRINCIPLE PURPOSE: Identification of participants in the Army Family Action Plan Symposium.  ROUTINE USES: To record the names and addresses of attendees at the Army Family Action Plan Symposium.  DISCLOSURE:  Disclosure is voluntary.  If not provided, registration for the symposium may not be possible.