Child Care Facility Update Form - Child Care Options

Facility Name*

Address*

Street Address Address Line 2 City Province Postal Code

City*

Surrey

Delta

White Rock

If your facility is outside of Surrey, Delta, or White Rock, we are unable to add you to our database. Please contact your local CCRR.

Main Contact Name*

First Last

Main Business Phone*

Email*

Mailing Address (if different from physical address)

Street Address Address Line 2 City Province Postal Code

Additional Phone (if applicable)

Website

License Number

Is this facility a registered non-profit?*

Yes

No

Non-profit Agency Name

Has this facility opted-in to the Child Care Fee Reduction Initiative?*

Yes

No

Languages Served (please list all)

Is this facility licensed for more than one service type?*

Yes

No

If this is a multiple-service facility, enter information for each service type separately on the following pages.

Child Care Facility Update