Child Development Resource Center (CDRC)
Santa Cruz (831) 466-5820 Watsonville (831) 724-2997 ext. 210
Home
Services
Families
Providers
Switchboard
Projects
Workshops
Lending Library
Resources
Testimonials
Contact
Child Care Switchboard
Child Care Referrals: Referral Request Form
First Name
Last Name
Relationship to child needing care
Email Address
Mailing Address: Street
City, State, Zip Code
If you want child care at another location (employment, school, etc.), enter other location here
Reason for needing child care
Employment
Training
Looking for work
Sick Care
Child's Needs
Parent's needs
Special needs of child
Alternate care
Dissatisfied with current care
CPS/respite
Job/schedule change
Job travel
Extended work hours
Other
Daytime phone
Best time for us to call between 8am and 5pm
Do you have a program to help you pay for child care?
Birthdates of children needing child care (mo/day/yr)
Days of the week child(ren) need care
Hours child(ren) need care
Does your child need transportation to/from school?
School Name
Type of care preferred
Child care center
Family child care home
No preference
Comments
The CDRC Child Care Switchboard provides referrals only - NOT recommendations. It is the parents responsibility to screen potential providers.