Form Center • Miramar, FL • CivicEngage

Step One

ERC is the licensed child care resource and referral agency that assists families in locating child care in Shawnee, Jackson, Osage, Wabaunsee and Pottawatomie counties. The listings include regulated family child care providers, centers, pre-schools and school-age programs. If you would like assistance in locating openings, ERC is here to help, free of charge. Please fill out the form and send it to ERC, either by mail, fax or e-mail.
Name of Parent
Address
City
State
Zip
Daytime Phone Number
Fax Number
Email Address
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Please Specify How You Would Like to Receive the Referrals
Telephone*
1. Yes
2. No
Mail to Home*
1. Yes
2. No
Fax*
1. Yes
2. No
Email*
1. Yes
2. No
ERC has not personally interviewed or screened the referrals. It is the responsibility of the family to research all options and to require references in the selection process. The names you receive are referrals only; not recommendations or endorsements of ERC. To help you through the selection process, ERC will also send you a packet of information which includes tips for selecting good quality child care as well as regulation information.

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