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
Type of Care
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
Transportation
Please check all that apply.
Extra Care Services
Please check all that apply.
Fee Assistance
Please check all that apply.
Special Needs
Please check all that apply.
Additional Care Services
Please check all that apply.
Special Diet Accommodation
Please check all that apply.
Environment
Please check all that apply.
Languages spoken to children in care
Please check all that apply.
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