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MyPre-K Child Care Referral Form

Please complete the information below. You will receive a customized search result within 7 days.

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Email *

Name *

First

Last

Preferred contact method *

Email
Phone
Text
Other

If you chose 'Other' for Preferred Contact Method, please type your answer below. *

County of Residence *

Boone
Campbell
Kenton
Pendleton
Other

If you chose 'Other' for County of Residence, please type your answer below. *

How did you hear about My Pre-K *

Facebook
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Family / Friend / Neighbor
Community Agency
Public Library
Head Start / Child Care Provider
Other

If you chose 'Other' for How did you hear about My Pre-K, please type your answer below. *

and a search?

Date of Birth for Child(ren) in need of care (Child Care Providers often ask for a child's date of birth to help them give families more accurate information about when they'll have availability in classrooms.) *

When do you need care to start?

mm / dd / yyyy

What are the days and hours needed for care? *

What region / city do you need care in? *

Are you looking for a provider on the bus line, or one that provides transportation (either to/from your home or to/from school and the program)? *

Bus Line
Provides Transportation
No

Do you qualify for Kentucky's Child Care Assistance Program (CCAP)? *

Yes
No
Unsure (If unsure, visit kynect.ky.gov and click “Prescreening Tool” to enter your information to check on eligibility.)

Do you have a preference of Center based care, or In-Home care? *

Center based care (a facility that regularly provides child care services for more than 4 children in a non-residential setting, is licensed by the state, and follows state child care regulations)
In-Home care (a person who cares for a child in their own home, is certified by the state, and follows state child care regulations)
Either is fine

Does your child have a medical or development diagnosis that will require specific accommodations? *

Yes
No

If 'Yes', please describe below: *

Is there anything else you 'd like to tell us to aid in our search? *

8020 Veterans Memorial Dr
Florence, KY, 41042

859-363-5891
[email protected]

Hours
Monday – Friday: 9am – 4:30pm
Saturday – Sunday: Closed

Service Area
Northern Kentucky Counties:
Boone, Campbell, Kenton, and Pendleton.

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Email

Email *

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Copyright © Early Childhood Learning Education Resource Network, LLC. All rights reserved.

8020 Veterans Memorial Dr
Florence, KY, 41042

859-363-5891
[email protected]

Hours
Monday – Friday: 9am – 4:30pm
Saturday – Sunday: Closed

Service Area
Northern Kentucky Counties:
Boone, Campbell, Kenton, and Pendleton.

Contact Us
Get A Referral
About MyPre-K

Child Care
Preschool
Kindergarten
Family Resources
Health

Blog
Zip Search
Privacy Policy

Please enable JavaScript in your browser to complete this form.

Email

Email *

Copyright © Early Childhood Learning Education Resource Network, LLC. All rights reserved.

Child Care
Preschool
Kindergarten
Family Resources
- Health
Contact
Blog
Get A Referral
Search by Zip Code