Book Now PARENT INFORMATION - (parent must fill out form, no event planners please) Your Name * First Name Last Name Your Email * Phone * (###) ### #### Where do you reside? * State, Country ABOUT YOUR CHILDREN How many children? * one child two children three children four children Child 1 Name * Child 1 Age (must be at least 3 years old) * Select 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old Child 2 Name Child 2 Age (must be at least 3 years old) Select 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old Child 3 Name Child 3 Age (must be at least 3 years old) Select 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old Child 4 Age Child 4 Age (must be at least 4 years old) Select 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old Additional Info * Please state any special needs or allergies, or important ongoing health issues. ABOUT YOUR TRIP Where will (Give name of Hotel or Address of AirBnB) the childcare take place? Must be within the City of Napa, Yountville, and St Helena only. Hotels must have safe and easy parking access. I do not travel to Calistoga (Solage OK) Angwin, Clearlake, Healdsburg, Santa Rosa, or any remote mountainous areas. Date Needed * MM DD YYYY Start Time (afternoons/evening only) * Hour Minute Second AM PM End Time * Hour Minute Second AM PM Will you be sharing childcare with another family? (each parent required to fill out form) * Yes No Will you be bringing a pet? * Yes No Thank you for contacting Maggie with NVN. I will get back to you shortly.