Provider Update Form

CHILD CARE CONNECTIONS PROVIDER UPDATE FORM

Use this form to quickly update your program. You can let us know about any change in your hours of operation, rates, and openings that you may have.
(Please be sure to tell your registrar or licensor about any changes in your hours of operation.)
If you have more detailed changes or updates, please call the referral service at (845) 331-7080 x 126.




SCHOOL BUS STOPS AT OR NEAR YOUR HOMEYOUR HOME IS WITHIN WALKING DISTANCE OF THE SCHOOLYOU WILL PROVIDE TRANSPORTATION TO AND FROM SCHOOL


EveningsOvernightWeekendsSnow DaysPart WeekFlexibleVacation/Holiday


WILL EXCEPT SOCIAL SERVICES FAMILIESMULTI CHILD DISCOUNTSLIDING SCALE FEE BASED ON FAMILIES INCOMEFEE NEGOTIABLE


MAT CERTIFIEDEMERGENCY MEDICATION WAIVERWILL CARE FOR SPECIAL NEEDS CHILDRENWHEELCHAIR ACCESSIBLESIGN LANGUAGE


VEGETARIANVEGANKOSHERGLUTEN FREELACTOSE FREEDIABETICPEANUT FREEALLERGY