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care problems
cost businesses?

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The information about the Child Care Providers is supplied by the providers themselves. The Child Care Resource Center makes every effort to supply you with up-to-date information, but cannot guarantee provider capabilities. The Child Care Resource Center offers you options, no recommendations. Since selecting a provider is a subjective decision, you should visit providers to determine which you and your family feel is best.

For questions or concerns, please contact one of our CCRC Consultants at (440) 960-7187 or (800) 526-5268 or e-mail CCRC.

The information you provide on this page will be used to report aggregate demographic data to our funders. Individual client data is kept confidential. You may be contacted by CCRC for voluntary client satisfaction feedback. Contact will be made by e-mail, postal mail or telephone depending on the contact information you provide. CCRC does not share or sell mailing lists or client names.

Fields in red are required.
Contact Method (If necessary, how can we contact you?)
Your Name:
Home Address:
City, State, Zip:
  (see note above regarding our privacy policy)
Daytime Phone: ext:
Email:
County of Residence:
Age(s) of Child(ren):
(check all that apply)
Newborn (under 3 months) 3 years to 5 years
3 months to 18 months  5 years to 8 years
18 months to 3 years  8 years and older
Number of children
needing care:
Reason for
Needing Care:

(check all that apply)
Employment Emergency
Training/Education Other
Child's Needs  
Schedule:
(check all that apply)
Days Weekend
Evenings Before/After School
Overnight Summer Only
Employer:
Response to the following questions is optional:
Household Income:
Household Size:
Single Parent: yes no 
Spanish/Hispanic/Latino: yes no 
Race:
Other:
Comments or
special instructions: