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Contact us

Beaumont Location
510 Park Street, Suite 215
Beaumont, Texas 77701
Phone: 409-835-1411
Fax: 409-838-4048
cccs@workforcechildcare.org

Port Arthur Location
3901 Twin City Highway
Port Arthur, Texas 77642
Phone: 409-962-1236
cccs@workforcechildcare.org

PARENT—ATTENDANCE RECORDING

Personal Information
First Name:*
Last Name:*
Last 4 digit of Social Security #:
Contact Number:*
E-mail Address:
Date of Birth:* (mm/dd/yyyy)
   
Request for attendance card

Parent can designate up to 3 additional card holders for the family.
Note: All card holders must be at least 16 years of age unless they are the parent of the children in care, and the child care provider may NOT be a card holder.
 
Card Holder 1:
First Name:  
Last Name:  
Date of Birth: (mm/dd/yyyy)
 
Card Holder 2:
First Name:
Last Name:
Date of Birth: (mm/dd/yyyy)
 
Card Holder 3:
First Name:
Last Name
Date of Birth: (mm/dd/yyyy)
 
 
Card Holder 1:
First Name:
Last Name:
 
Card Holder 2:
First Name:
Last Name
 
Card Holder 3:
First Name:
Last Name:
 
Name 
Name 
Name 
 
Note: all cards will be mailed to the parent’s address as listed in our system.