Day Without Child Care Registration Form

Louisiana's 2nd Annual Day Without Child Care: Registration Form
On Tuesday, May 12, early care and education providers, their staff, families, and community partners will come together to share their stories, uplift families, and show the strength of our numbers through coordinated program closures and a family and community-centered day of engagement at the Louisiana State Capitol.

Louisiana’s Day Without Child Care is part of the National Day Without Child Care, a coordinated nationwide movement elevating the essential role of early learning in our economy and communities, with coordinated efforts taking place across 27 states.

Louisiana’s Day Without Child Care is a provider-led, educator-led, parent-led, and business-led day of action demonstrating the essential role early care and education makes possible for Louisiana families, workforce, and economy — and what is at risk without sustained, long-term investment.

This day is about visibility, collective power, and ensuring decision-makers understand that child care is essential infrastructure for working families, businesses, and the future of our state.

Our Statewide Goal

Our goal is participation from at least 200 early learning centers and family child care homes across Louisiana.

Providers with multiple sites may include all centers they own or operate on this one form.

By participating, providers across Louisiana are showing:

What child care is
Why it matters
Why it must be protected and strengthened

Together, 200 centers strong, we are making child care visible.

Nothing about us, without us.

* Providers scroll below to register you and your center.

* Parents click here to register!

* Business Owners click here to register (excluding ECE Providers, scroll below to register)
Primary Contact

First NameLast Name
Did you participate in last year's Day Without Child Care?*
ECE Provider/Owner Details
Provider/Owner's Name*

First NameLast Name
Provider/Owner's Best Contact Email Address*
example@example.com
Provider/Owner's Cell Phone Number*

Area CodePhone Number
How many centers do you own and will close on Tuesday, May 12, 2026?*
Center Type(s):*
How many centers will you close on Tuesday, May 12, 2026 in support of Day Without Child Care?*
Number of Staff across all centers*
Number of Children Served*
How many parents do you anticipate attending?*
Chartering BusesChartering or Renting VansCarpoolingOther
Center #1 Name*
Parish Center #1 is located in*
License Number*
I give permission to list Center #1 on marketing material regarding Day Without Child Care*
Center #2 Name
Parish Center #2 is located in
License Number
I give permission to list Center #2 on marketing material regarding Day Without Child Care
Center #3 Name
Parish Center #3 is located in
License Number
I give permission to list Center #3 on marketing material regarding Day Without Child Care
Center #4 Name
Parish Center #4 is located in
License Number
I give permission to list Center #4 on marketing material regarding Day Without Child Care
Center #5 Name
Parish Center #5 is located in
License Number
I give permission to list Center #5 on marketing material regarding Day Without Child Care
Event Ambassador

Point person responsible for event day communications including checking-in, attendance reporting, receiving real time updates, and facilitating other operational activities during throughout the day.
Ambassador Name*

First NameLast Name
Ambassador Email*
example@example.com
Ambassador Phone Number*

Area CodePhone Number
Communication Acknowledgement
Communication Acknowledgement: I understand that by signing up for Day Without Child Care, I will receive emails, text messages, and GroupMe Communications from For Providers by Providers (4PXP) related to advocacy updates, event logistics, and relevant organizational communications. I understand that I may opt out at any time but this will limit my ability to participate as I would not be receiving timely communication.*

Yes, I understand and authorizeYes, I understand and do not authorize and understand that I will not be able to participate in Day Without Child Care as I would not be able to receive the necessary communication.
How did you hear about a Day Without Childcare? Did a ECE provider reach out to you if so Provider's name or center's name?*
Showcase your part of the Movement

For the first time, Louisiana providers have the opportunity to showcase their small business while supporting the statewide Day Without Child Care movement.

Centers may choose to become a Provider Movement Sponsor, helping amplify awareness about the essential role child care plays in Louisiana’s communities while highlighting their commitment to strengthening early childhood education.

Provider Movement Sponsors will receive additional recognition and materials that help showcase their participation and leadership in this statewide effort.

Provider Movement Sponsor – $150

Provider Movement Sponsors receive:

* Inclusion in a Provider Movement Sponsor recognition post on 4PXP social media

* One Day Without Child Care participating yard sign to display at your center

* All participating providers will have their center name listed on the Day Without Child Care webpage as part of the statewide list of participating centers.
I am interested in being a Provider Movement Sponsor for $150 per center. I can choose how many centers I want to list.I am interested in being a Provider Movement Sponsor but would also request information on all sponsorship opportunities.I am not interested in being a Sponsor at this time. I will be closing my center and joining in at the Capitol.
Please list any thoughts, ideas, areas of support needed, and concerns here for us:
Should be Empty:

Louisiana's 2nd Annual Day Without Child Care: Registration Form

ECE Provider/Owner Details

Event Ambassador

Communication Acknowledgement