Interested in Learning More?

Please complete this form prior to your visit.

Required fields are marked with an asterisk *.


*Parent Name :
*Employment Status :
(i.e. VRH, non-VRH, VRH-Grandparent)

*First Child's Name :
Second Child's Name :
*Home Address :
*Home Phone :	()-
Work Phone :	()-
Cell Phone :	()-
*Days/Time Needed :
*Desired Start Date :	/ /
Is there any other important information we should know about you or your child(ren)?

Would you like to set up a time to visit our center? Please call the number below to arrange a tour. And, please bring this completed information sheet with you.

Connecticut Valley Child Care Center

A Department of Valley Regional Hospital
958 John Stark Highway • Newport, New Hampshire 03773
Tel: 603.543.6880 Fax: 603.543.6885

Director: Michelle Coogan














	Read More... View Webcam...



	243 Elm Street Claremont, NH 03743 info@vrh.org \| Directions & Map


	About Us \| Medical Services \| Visitor & Patient Guide \| Health Safety & Wellbeing \| Get Involved \| Contact Us \| News & Events © 2009 Valley Regional Hospital \| 243 Elm Street, Claremont, NH 03743 \| T: 603-542-7771 \| E: info@vrh.org \| Site Map