Child Care
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Information Request on Locating Quality
Child Care In Buncombe County

This form will be sent via Email to Buncombe County Child Care Services Resource & Referral. A Parent Counselor will be in-touch with you within the next business day. You may also call our office and speak to a Parent Counselor @ (828) 250-6700, or come in person to BCCCS 59 Woodfin Place, Asheville, NC 28801.

Your Name:
Child #1: (First & Last) Child #1 Date of Birth:
Child #2: (First & Last) Child #2 Date of Birth:
Child #3: (First & Last) Child #3 Date of Birth:
Child #4: (First & Last) Child #4 Date of Birth:
Home Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
E-mail Address:
Region Care Needed:
North
South
East
West
Central
Type of Care Needed:
Center
Family Child Care Home
Pre-school
School-age
Other
Days of the Week Care Needed:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Hours of Care Needed:
  Start Time:
  End Time: 
Comments or Special Requests:
A Parent Counselor will contact you the next business day with referrals and information about choosing quality child care. How would you like to be contacted?
Telephone
Mail
E-mail