Hours/Rates

 
20% of survey complete.

Have questions while completing this questionnaire? Please call Charity McKinney at (336) 245-4900 or e-mail at cmckinney@ccrr.org

Questions with an asterisk (*) are required.

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* 1. Name of the person completing this information:

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* 2. Name of Child Care Center:

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* 3. Director's Name:

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* 5. What days of the week does program operate (Check all that apply)?

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* 6. What are the start and end times for your facility?

Start Time:
End Time:

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* 8. Do you provide any of these extra care services (check all that apply)?

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* 9. What are your Weekly OR Monthly RATES for each infant/preschool age group (please put NA for any ages you do not serve)?

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* 10. What are your Weekly OR Monthly RATES for School-Age children during each of the following circumstances (please put NA in any fields that do not apply)?

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* 11. What is your REGISTRATION FEE (If you do not have a registration fee please skip this question).

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* 12. Do you accept DSS vouchers?

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* 13. Do you accept Smart Start vouchers (select counties only)?

T