Early Learning Coalition of Duval
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Child Care Listing Request

*Indicates required field

PARENT INFORMATION

First Time Using CCRR Services * Yes No
Name *
E-Mail *
DOB *
Gender * Male Female
Address *
Home Phone *
Other Phone *
Nearest Major Intersection to where you want your Child to Receive Care *

OTHER INFORMATION
Reason for Care *
Child Care Issues *
# of adults in household *
Relationship to child/ children *
How did you hear about us?

CHILDREN INFORMATION

Child #1

Name
DOB
Gender
Male Female
Special Needs
Transportation To
Transportation From
Days Needed for Care
Care Time From
Care Time To
Curriculum
Schedule
Special Needs
Licensed Environment
Programs
Transportation
Enhanced Services
Other Info Requested
Do You Need Financial Assistance? Yes No
13 + 1 =
 

Announcements & Events

  • VPK READINESS RATE REPORT

    Attention VPK Providers!  Two OEL webinars with information about how to read final readiness rate reports ... Read More

  • INSPECTION REPORTS

    Choosing a child care provider for your family is one of the most important decisions you will ever make as a parent.... Read More

  • GROW UP GREAT CHILDREN'S CLOSET

    The Grow Up Great Children's Closet is open the first Friday of each month on a first come, first serve basis.&nb... Read More

  • READ, READ, READ!

    Did you know that reading to infants and young children promotes brain development? Try these read aloud STRATEGIES&n... Read More

  • VPK REGISTRATION FOR 2020 - 2021 IS OPEN!

    Enroll now in Florida's Voluntary Pre-Kindergarten Education Program. CLICK HERE FOR MORE INFORMATION! ... Read More
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