Elizabethtown Child Care Center

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Thank you for your interest in having your child(ren) attend the Elizabethtown Child Care Center (ECCC). Please complete and submit the form to the right. A director will contact you to discuss placement if there is an available opening.

Completing an application does not guarantee placement at ECCC. A director will contact you via email to confirm receipt of this application.

Please note: ECCC does not enroll children on a part-time basis in the infant or toddler programs.


Date of Application
Parent/Guardian's Name (First & Last)
Address (Street, City, State, Zip)
Daytime Phone() -
Evening Phone() -
E-mail Address
Name & Birthdate of Children who need placement
Do you need full time care? Please list hours needed.
Do you need part time care? Please list days and hours needed.
When do you need care to start?
Any other information
Would you like to be added to our waiting list?
Proudly serving the Elizabethtown community since 1969!