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Tot-Info

Apply online or call TOT-INFO (610-868-4636) Monday through Friday, 8:00 am – 5:00 pm for help finding quality child care and to hear more about subsidized child care.

*Required fields  
*County Residence:
*Parent/ Guardian Name:
*Parent/Guardian Birth Date:
*Marital Status:
Single    Married    Divorced
Separated    Live-in Companion
Relationship to Children:
Family Size:
# of Children Needing Care:
Children's Full Names and Birthdates:
*Home Address:
*City:
*State: *Zip Code:
*Home Phone:
Cell Phone:
*E-mail:

Type of Care Needed:
(Choose all that apply)
 
 
  Full Time Care OR Part Time Care?

Hours of Care Needed:
From: To:
Days of Week Needed:
Where Care is Needed:
Near Home Near Work Both Other
Employer:
Employment Address:

Do you need school transportation to and from the child care provider?
If yes, School District:
School or Schools:
Will you need help paying for Child Care?
Would you like a subsidy application?
Additional comments or questions: