Business Name (if applicable)

Name of Director, Provider, or Contact Person

Email Address

ENROLLMENT: Please enter all children enrolled in your program into the categories applicable to your program. Count all children enrolled even if they only attend once a week, or a few hours a day. Please note that full time is at least 30 hours or more a week, and part time is less.

VACANCIES: List any vacancies that you would like to fill. Use the comments section if you would like to make any specifications about a vacancy i.e.: (certain days, times, age, estimated vacancy date, etc.)

Comments

RATES: We need to know what child care costs in Santa Cruz County. Please list them in the categories applicable to your program. Or, if you have your rate information on a brochure/pamphlet, please email, fax, or mail it to us.

Additional Comments