Child Care Search

Child Care Search Information

Parent/Guardian Name *

First

Last

Home Address *

Phone Number *

Cell Number *

Email *

Place of Work/School *

Start Date of Child Care *

Area of Lethbridge to Search *

North South West

If transportation for school is needed please indicate name of school *

Days of Care Needed *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Needed Drop off and Pickup Times *

1. Child's Name *

Choose One *

Male Female

Birthdate *

2. Child's Name *

Choose One *

Male Female

Birthdate *

3. Child's Name *

Choose One *

Male Female

Birthdate *

Are there any allergies or medical needs? *

Can the Family Child Care Center have pets? *

Yes No Certain ones (please specify)

Pet limitations *

Will you be using Child Care Subsidy? *

Yes No

Submit

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