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Due to funding limits, there are families waiting for help in paying for child care. Even though you may be eligible, there may be a waiting period to get help in paying for child care. You will receive an available slot letter when funding becomes available for child care.

If your city is not listed, please visit www.masschildcare.org to find the Child Care Resource & Referral agency for your area or click here to locate the Coordinated Family & Community Engagement program in your area.


Parent & Family Information

*indicates required information

Primary Contact Parent

(Select all that apply)‚Äč​

Other monthly income (include income from all sources before taxes):

per month
per month
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per month
per month
per month
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per month
(Select all that apply)​

Parent 2 (if applicable)

(If single and parents are living apart - do not complete this section)

(Select all that apply)

Other monthly income (include income from all sources before taxes):

per month
per month
per month
per month
per month
per month
per month
per month

Child #1 Information

(Select all that apply)​
(Select all that apply)​
(Select all that apply)​
(Select all that apply)​
(Select all that apply)​
(Select all that apply)​

If you would like to register more than 3 children, please use an additional registration form.


By completing this form, you are placing yourself on a waiting list for income eligible vouchers. This is not a guarantee of a voucher. All information submitted here will need to be verified when your name comes up for a voucher.