[City of Irvine] 53-08: Child Care Resource and Referral Form

COMMUNITY SERVICES Irvine Child Care Coordination Office

CHILD CARE RESOURCE AND REFERRAL FORM

Please complete the following information to add or update your program information on the City of Irvine online list and interactive map of licensed child care programs. The listings can be viewed at irvinechildcare.org/findingchildcare.

Program and Listing:

License Number:

Only complete the fields of which your information has changed and must be updated online.

Irvine Village:

Business Name:

Licensee/Director Last Name:

Licensee/Director First Name:

Program Status:

Ages Served:

Child Care Hours:

Phone Number

Email:

Website:

Street Address :

Zip:

CHILD CARE PROGRAM INFORMATION

The information below is information is only for Child Care Coordination Office and will not be posted online.

CHILD CARE PROGRAM INFORMATION

The information below is information is only for Child Care Coordination Office and will not be posted online.

CHILD CARE PROGRAM INFORMATION

The information below is information is only for Child Care Coordination Office and will not be posted online.

CHILD CARE PROGRAM INFORMATION

Mailing address information is only for Child Care Coordination Office and will not be posted online.

Street Address :

City:

State:

Zip:

Licensee/Director Last Name:

Licensee/Director First Name:

I would like my email address to be added to the City of Irvine Child Care Provider Information Distribution List. The City utilizes this Distribution List to disseminate information regarding resources, training and support available to child care providers:

Yes