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Use this form to quickly update your registered or licensed child care 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) 473-4141 x 223.

Contact Information
*REQUIRED
*REQUIRED
*REQUIRED
Ages of children you are willing to provider care for:
Hours of Operation
Openings

Please indicate your current openings.

Day Care Center

Family Day Care and Group Family Day Care

Rates

Day Care Center

Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.

Family Day Care and Group Family Day Care

Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Please specify weekly, daily, and/or hourly rates.
Additional Information
Please check all that apply.
Please check all that apply.
Please check all that apply.
Please check all that apply.
Please check all that apply.
Please check all that apply.
Please check all that apply.
Please check all that apply.
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