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Colorado Shines Child Care Referral

Licensed Child Care Request
  • Information About Parent/Legal Guardian

  • Information About Children

    If child is not yet born "unknown" may be entered under name and the child's due date may be entered in place of birthdate.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Search Information

    Please let us know about your child care needs
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  • Optional Demographic Information

    The questions below are not required, but if you decide to answer them, it will help us serve our community better.
  • Please enter a number from 2 to 20.