Online Inquiry Form

Thank you for your interest in joining the CCDC family! We welcome inquiries from families interested in learning more about our approach to early childhood care and education and our current availability. Please complete and submit the Inquiry Form below and we will contact you. If you do not hear from us within two business days, please feel free to call us at 203-226-8033 ext.9

Child's Name

Date of Birth

Gender

Contact Information

Parent/Guardian Name

Address

Communication ...used only for correspondence with CCDC and account setup

Additional Information

In order to determine the best fit for our program, it is important for our staff to learn about the needs and priorities of prospective families. After reviewing our published information, families are encouraged to visit the facility, meet key members of our staff and learn more about what to expect if enrolled at CCDC.

What is your preferred start date?

What is your preferred schedule?

Questions/Comments

If you were referred to CCDC directly, please indicate by whom:

Name

Phone Number

Would you like information about Financial Aid offerings? Yes No