ECC Inquiry

Please complete the below form to receive more information about the Early Childhood Center at the Siegel JCC.
Parent First Name
Parent Last Name
Phone
Email
Child 1 Full Name
Child 1 Date of Birth
Child 2 Full Name
Child 2 Date of Birth
Preferred school schedule
How did you hear about us?	Referral Search Engine Social Media Another Website Ad Other
If other, please specify
I acknowledge that I am receiving the Parents Right to Know notice which states, “UNDER THE DELAWARE CODE, YOU ARE ENTITLED TO INSPECT THE ACTIVE RECORD AND COMPLAINT FILES OF ANY LICENSED CHILD CARE FACILITY. TO REVIEW A CHILD CARE FACILITY RECORD CONTACT: the administrative specialist, OFFICE OF CHILD CARE LICENSING, 3411 SILVERSIDE ROAD, CONCORD PLAZA ǀ HAGLEY BUILDING, WILMINGTON, DELAWARE 19810, phone (302) 892-5800. I acknowledge that though this Right To Know Notice, I have the right to also view substantiated complaints and compliance review histories by visiting the Office of Child Care Licensing’s child care search at https://kids.delaware.gov/occl/search-for-child-care.shtml
I acknowledge that the ECC has provided me with the Parents Right to Know information.
Signature Clear
If you chose "other" please specify
Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty. A: B: Click to Move