Home
Locations
West Center
The Creative Way
Contact Us
Careers
Contact Us About Child Care
Comments
This field is for validation purposes and should be left unchanged.
Name
(Required)
First
Last
Relationship to child/children
(Required)
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Confirm Phone
(Required)
I am interested in (check all that apply):
(Required)
Infant Care (6 weeks – 18 months)
Toddler Care (18 months – 3 years)
Preschool (3 years – 5 years)
Early Head Start Program
Head Start Preschool Program
Ohio Department of Education Preschool Program
WEST CENTER
485 Industrial Mile Rd.
Columbus, Ohio 43228
I qualify for PFCC
(Required)
Choose one
Yes
No
Not Sure
Publicly Funded Child Care Assistance (PFCC) - If you are working or going to school, you can apply for PFCC, which is help with paying childcare through the county department of jobs and family services. It is based on your income, family size, and hours worked or going to school. You may be required to pay a parent copayment.
Number of Children Interested in Enrolling?
(Required)
Choose one
1
2
3
4
5
Child 1 Information
Child's Name
(Required)
First
Last
Childs Birth Date
(Required)
MM slash DD slash YYYY
Child 2 Information
Child's Name
(Required)
First
Last
Childs Birth Date
(Required)
MM slash DD slash YYYY
Child 3 Information
Child's Name
(Required)
First
Last
Childs Birth Date
(Required)
MM slash DD slash YYYY
Child 4 Information
Child's Name
(Required)
First
Last
Childs Birth Date
(Required)
MM slash DD slash YYYY
Child 5 Information
Child's Name
(Required)
First
Last
Childs Birth Date
(Required)
MM slash DD slash YYYY
Questions or Comments
Menu
