Essential Worker Limited Operation

Sign-up Form

The Texas Child Care Regulation Department requires us to verify essential worker status during the stay-at-home order period. Complete this form. You will receive an email with the necessary Texas Child Care Regulation form to sign via DocuSign.

We will have limited capacity during this essential worker only period, so please complete your information as soon as possible. Thank you.

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* 1. Parent Name

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* 2. Parent's Email Address

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* 3. Please enter the first and last names of each child returning to care.

Child 1

Child 2

Child 3

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* 4. Hours needed

Drop-off Time

Pick-up Time

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* 5. Do you plan to use LunchDirect for your child's lunch?

Yes

Essential Worker Limited Operation

Sign-up Form

Question Title

* 1. Parent Name

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* 2. Parent's Email Address

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* 3. Please enter the first and last names of each child returning to care.

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* 4. Hours needed

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* 5. Do you plan to use LunchDirect for your child's lunch?

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* 6. Anything else you would like to tell us?