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Child Care Request Forms
If you are in need of child care, you can access our Online Referral System (located on our "Welcome" page) to find quality child care.
Or, you can download our Child Care Request form, complete it, and return it to us via fax, email, or regular mail.
If you choose to return the document via email, please send it to
childcare@oppco.org.
You must have Adobe Acrobat Reader to view the second document.
To download it, click on the Adobe Reader icon below.

All of the information collected from you is confidential. Child Care
Resource and Referral staff may only discuss material of a sensitive
nature with colleagues and supervisors who have a legitimate work-related
need to know. Information about the affairs of any client or member of
their family may not be discussed outside the office, unless the client
has given written consent to release his/her information. Financial,
statistical, personal, and/or other sensitive information belonging to
either referral recipients or licensed child care providers may be shared
as per Child Care Resource and Referral’s contract. For more information
about our confidentiality policy, please contact us.
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