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Choosing child care is a very important decision. Our Resource and Referral Specialists are available to help you with your search.

We can provide information by telephone, through the internet or in person to help guide you in making the best child care decision to meet your family's needs.

This Program is not a placement or rating service. We do not recommend or endorse any child care program or service, nor do we evaluate or set standards for providers.

To fill out a Child Care Search Form on-line click here; once completed, click the "Submit" button at the end of the form.

If you prefer, you may download the Form by clicking here. After completing the information, you can either fax it to 214-631-1943 or mail to:

ChildCareGroup Resource and Referral Program
8585 North Stemmons Freeway, Suite 500 South
Dallas, TX 75247

If you would like to speak with one of our Specialists regarding your child care needs, please call 214-631-2273 or toll free, 800-441-7865.

Child Care Search Form

Please check here if you are member of the Military. You may be eligible for a child care subsidy and/or an enhanced referral search. Please call 800-793-0324 for details.
Parent's Name:
Address 1:
Apartment #:
City:
State/Province:
ZIP/Postal Code:
County:
Phone (home):
Phone (work):
Fax Number:
E-mail address:
Employer:

Children requiring care:

Child One:

Name of child:

Date of Birth (MM/DD/YY):

Gender:

Male
Female

Any special Needs?:

Days care needed:

M T W Th F Sat

Date care needed:

Time range you will drop off/pick up your child:		Drop Off:	Pick Up:
	Weekdays:
	Saturdays:
	Sundays:

Child Two:

Name of child:

Date of Birth (MM/DD/YY):

Gender:

Male
Female

Any special Needs?:

Days care needed:

M T W Th F Sat

Date care needed:

Time range you will drop off/pick up your child:		Drop Off:	Pick Up:
	Weekdays:
	Saturdays:
	Sundays:

Child Three:

Name of child:

Date of Birth (MM/DD/YY):

Gender:

Male
Female

Any special Needs?:

Days care needed:

M T W Th F Sat

Date care needed:

Time range you will drop off/pick up your child:		Drop Off:	Pick Up:
	Weekdays:
	Saturdays:
	Sundays:

Please mark all that apply:
1) Where do you want care?	Near home Near work/school Near child’s school Other Please specify:
Name:
Address 1:
Address 2:
2) Type of care:	Licensed Center Licensed Group Day Home Registered Family Child Care Home
3) How did you learn about ChildCareGroup?	Employer Yellow Pages Internet United Way Other Agency Child Care Provider Prior Use Family/Friend CCA Local Workforce Board Texas Workforce Commission Texas Dept. of Human Services Other:

Comments or Questions:

Please call us at 214-631-2273 or 800-441-7865, if you have any questions regarding your child care needs.