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Location of Child Care

Where do you need child care?

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Reason Care Needed

Why do you need child care?

Employed

Child Protective Services

Looking for work

Back-Up Care

In school/training

Mildly ill child

Other parental needs

Enrichment

Experiencing Homelessness

What category best describes your occupation?

Employer or Student School ZIP Code:

Children Needing Care

How old are the children and when do they need child care?

Date of Birth

Date Care Needed

Weekly Schedule

Yearly Schedule

Add a Child

About you

What is your contact information?

First Name

Last Name

Email

Phone

Do you need assistance with paying for child care?

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Type of Care

Center Family Child Care

Language of Care

Earliest Start Time

Latest End Time

Program Type

Region

Special Needs

Transportation Provided

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