Join us for Child Care Day at the Capitol on 2/17/26
Fill this out so that we have an idea of how many to expect. This information will not be shared publicly. It is just a way to help us keep you informed as the event is closer.
Name
First Name
Last Name
Type of Program
Family Child Care Home
Center Based Program
Supporter of Child Care
Parent or Family Member
Program Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Phone Number (By giving us this number, you consent to allow us to text about this event. Information will not be shared outside of LCA.)
Please enter a valid phone number.
Including yourself, how many are people are you bringing.
I can volunteer to help with a table.
Yes
No
Submit
Should be Empty: