Renewal Registration for Child Care Providers

Childcare Resource & Referral Licensed & RLNR Child Care Provider RENEWAL Registration Form

  • Accepted file types: jpg, png, jpeg, pdf, maxfilesize:100mb, Max. file size: 100 MB.
    Please Upload your Interior Health License
  • First NameLast NameEmail 
    Please list up to 3 people you would like to be able to borrow on your behalf. (eg. a spouse or parent).
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    Office use
  • This field is for validation purposes and should be left unchanged.