HB Tech
What type of center do you operate? * [select center-type “Day Home” “Child Care Center” “After School Program” “Preschool” “Non-Profit Early Learning Center” use_label_element “”]
[conditional center-type “Day Home”] [group dayhome]
How many children do you care for?
Are you licensed or unlicensed? LicensedUnlicensed
Do you operate alone or with an assistant? AloneWith Assistant(s) [/group] [/conditional]
[conditional center-type “Child Care Center”] [group childcare]
Total licensed capacity
Number of staff members
Do you offer infant or toddler programs? YesNo [/group] [/conditional]
[conditional center-type “After School Program”] [group afterschool]
What age group do you serve?
Do you provide transportation from schools? YesNo
Hours of operation [/group] [/conditional]
[conditional center-type “Preschool”] [group preschool]
Number of sessions per day
Average class size [/group] [/conditional]
[conditional center-type “Non-Profit Early Learning Center”] [group nonprofit]
Are you registered as a non-profit organization? YesNo
Do you receive any government funding? YesNo
How many children are currently enrolled? [/group] [/conditional]
Center Name * [text center-name* placeholder “e.g. Little Learners Academy”]
Contact Person * [text contact-person* placeholder “e.g. Jane Doe”]
Email Address * [email email-address* placeholder “e.g. [email protected]”]
Phone Number * [tel phone-number* placeholder “e.g. 780-555-1234”]
Website or Facebook Page (if any)
What do you want help with?
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