If you are interested in having your name be placed on a Waiting list in the event that we are successful in obtaining licensed daycare, please include your contact information below.
Name
1. Would you use licensed fulltime childcare services in McComb if they were available to you?
2. Would you use After &/or Before school childcare services in McComb if they were available to you?
3. Please check the amount you consider reasonable to pay for daytime childcare (amounts are estimates only) Per week for 1 child for Full time (5 days per week)
4. Please check the amount you consider reasonable to pay for Daytime Care per week for 1 child for Part time (2-3 days per week)
5. Please check the amount you consider reasonable to pay Per week for Before &/or After School Care for 1 Child
6. If there were full-time childcare services in McComb available to you, please add times you would need.
7. Please list the ages & number of children you would place in daycare if available.
Number of children _________________
Ages of Children _______________
Please answer in the space below: