Yolo Childcare Provider Supply Sign-Up
Thank you for your efforts in caring for children of essential workers. We realize many of the supplies you need to do so are in short supply and want to assist you with providing supplies when and if they become available.
Facility Name *
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Facility Number *
Your answer
Street Address: *
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City and Zip Code *
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Phone Number *
Your answer
Are you currently open? *
Required
Do you care for children of Essential Workers? *
Required
If you are not currently what it your projected date to reopen?
Your answer
License Capacity *
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Ages Served *
Your answer
Your Name (if different than that on license) *
Your answer
Email Address *
Your answer
Please indicate which supplies you are currently in critical need of. Please keep in mind supplies will be delivered based on available inventory. *
Required
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