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for high-quality early education and care
in Southwest Ohio, the Miami Valley and Northern Kentucky.		 spacer20
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E-mail Request for Help Finding Child Care

Welcome Parents! Please complete as much of the following information as possible. The more details we have, the better referrals we can provide. We will process your request for child care referrals and contact you within the next 48 hours.

If you are looking for care outside of our service area, contact www.childcareaware.org, 800-424-2246 to find assistance in your region. 4C for Children's service area consists of Butler, Clermont, Clinton, Darke, Fayette, Greene, Hamilton, Miami, Montgomery, Preble, Shelby and Warren counties in Ohio and Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Owen and Pendleton counties in Kentucky.

Click on Submit when ready to send.

Required fields are indicated by red type.
The information you provide on this page will be used to report aggregate demographic data to our funders. Individual client data is kept confidential. You may be contacted by 4C for voluntary client satisfaction feedback. Contact will be made by email, postal mail or telephone depending on the contact information you provide. 4C does not share or sell mailing lists or client names.

Your Name:

Street Address:

City:

State

Zip

County:

Neighborhood/Region:

Home Phone:

E-mail Address: (Include if you want us to send you referrals through email)
If you have a Roadrunner address (cinci.rr.com), we may have problems replying to your email. Please supply a phone number or mailing address as well as your e-mail.

Location for child care:

Near Home Near Work Other  Describe other:

Employer:

(Complete the work address section if you are requesting child care referrals near your work place.)

Work Address:

City:

State
Zip

Work Phone:

Non-Smoking:

Receiving child care vouchers?

How soon do you need care? (provide date)

Ages of children needing care:

Days care needed:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Hours care needed:

From To

Type of Care:

Center Family Child Care Home Preschool School-Age In-Home Camp

If school age, please provide name of school:

Response to the following questions is optional:
Household income:
Household size:
Relation to Child:
Single parent: yes no
Spanish/Hispanic/Latino: yes no
Race: If other, enter here:

Any additional comments or special instructions?

  

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4C offers child care referrals. We do not make recommendations. 4C helps parents find child care options and offers information on how to choose quality care.

Parents know their children's needs better than anyone else. Because of this, child care decisions are best made by parents. Remember to look, listen and ask! Be sure to visit and interview several child care providers before making a selection. Ask questions and check references before leaving a child in care. Parents are fully responsible for making the right choice in child care. 4C cannot guarantee any child care provider or child care setting.

For questions or concerns, please contact us at parents@4cforchildren.org or using one of the phone numbers below:

Southwest Ohio 513-758-1330
Northern Kentucky 859-781-3511, x1330
Miami Valley 937-220-9660, x1330
Toll-free 800-256-1296, x1330

Resources for Parents