2010 Child Care Program update

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Thank you for completing this survey updating us on your child care program. If you have any questions contact us at 817-831-2111 or CCRR@CampFireFW.org.

1. What is the name, address and contact infromation for the child care program?

What is the name, address and contact infromation for the child care program? Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

*
2. Type of program?

Type of program? Licensed child care center

Licensed child care home

Registered family child care home

Licensed church program

Licensed after school care program only

*
3. What are the ages of children your program accepts- from what age to what age?

What are the ages of children your program accepts- from what age to what age?

4. What are the days and hours your program is open?

	HH		MM	AM/PM
Monday	What are the days and hours your program is open? Monday Hour	:	Minute	AM or PM
Tuesday	Tuesday Hour	:	Minute	AM or PM
Wednesday	Wednesday Hour	:	Minute	AM or PM
Thursday	Thursday Hour	:	Minute	AM or PM
Friday	Friday Hour	:	Minute	AM or PM
Saturday	Saturday Hour	:	Minute	AM or PM
Sunday	Sunday Hour	:	Minute	AM or PM

5. What time does your program close?

	HH		MM	AM/PM
Monday	What time does your program close? Monday Hour	:	Minute	AM or PM
Tuesday	Tuesday Hour	:	Minute	AM or PM
Wednesday	Wednesday Hour	:	Minute	AM or PM
Thursday	Thursday Hour	:	Minute	AM or PM
Friday	Friday Hour	:	Minute	AM or PM
Saturday	Saturday Hour	:	Minute	AM or PM
Sunday	Sunday Hour	:	Minute	AM or PM

6. What schedule options do you provide?

What schedule options do you provide? Full time

Before school

After school

Summer only

School year only

Drop in care

Flexible hours

Occasional evenings

Occasional weekends

Occasional overnight

Part time care starting at age- please specify

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