Middletown Child Care Help
Are you looking for child care help right now, or in a few days or weeks?
We want to make sure we have enough care to support our essential workers! The results of this survey will help us mobilize care providers.
Once we know which providers will be open, we will call or email you with information.
Your First and Last Name
Your Phone and/or Email (best way to reach you)
How many children do you have in each age group?
We want to have appropriate care for your children including space, activities and qualified staff.
How many infants? (up to 12 months old)
How many toddlers? (12 months up to 34 months)
How many preschoolers? (34 months up to 5 years)
How many young elementary? grades K, 1, 2
How many older elementary? grades 3, 4, 5
How many middle school? grades 6, 7, 8
What times of day do you think you will need care?
Do any of your children have "special needs?"
Yes, if so please indicate below
Do you need or do you use Care 4 Kids?
How soon will you need child care to start?
mid to late April
Where are you working?
What town do you live in?
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This form was created inside of Middlesex Hospital.