Preschool and Child Care : Preschool and Child Care Form
Complete the following form for inclusion on our Web site, as well as our November 2008 print issue. Deadline for inclusion in our November 2008 issue is August 8, 2008. If you have any questions, please e-mail apayne@carolinaparent.com or jlewine@carolinaparent.com. To mail or fax your entry: fill out the fields in the online form below, click on the Preview button at the bottom of the form, then click on the Print button to print the page. Send your printed form to:  Carolina Parent Attn: Janice Lewine 5716 Fayetteville Rd., Ste. 201 Durham, NC 27713 Fax: 919-956-2427 Please note: Information may be edited for style and clarity. *Required Information
Program or Facility Name: *
Address: *
City: *
If your facility is located in Research Triangle Park, and you would like to be listed with other RTP facilities, please indicate.	RTP
State: *
Zip: *
County: *	WakeDurhamOrangeChathamJohnston
Other County:	List only if your county was not listed in the drop-down box above.
Phone: *
Web site:
Contact's Name: *
Title:
E-mail: *	For internal contact purposes only; not for publication.Your e-mail helps us contact you if we have questions.
Which category best describes your program?	Preschool Daycare Facility Special Needs Drop-In Care Resource and Referral Nanny/Sitter Agency
What is your state license number or ID?	The state requires us to include this information
What ages or grades do you serve?
What are your operating hours?
What are your fees or tuition?
Select a time period:	Fee variesSessionHourDayWeekMonthQuarterSemesterYear
Accreditation or Star-rating?
Religious affiliation, if any:
Is financial aid available?	Yes No
Comments:
Hyperlink Information (Optional) You can enhance your free Education Directory listing with a hyperlink to your site from our online directory for $175. The Education Directory will be online for a full year at www.carolinaparent.com. You can also include a hyperlink in our other online directories (directories in which you already have a listing) for an additional $20 per directory. Please e-mail Gail Harris, Web sales manager, at gharris@carolinaparent.com with your contact information (please include your name, program or facility name, full address and phone number) if you are interested in this service.