Contact us

Beaumont Location
510 Park Street, Suite 215
Beaumont, Texas 77701
Phone: 409-839-8045
Fax: 409-838-4048
cccs@workforcechildcare.org

Port Arthur Location
4680 FM 365
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
Add new card holder(s). 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. Please turn in driver's license for the additional card holder.Required

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)

Delete current card holder(s)

Card Holder 1:
First Name:
Last Name:

Card Holder 2:
First Name:
Last Name

Card Holder 3:
First Name:
Last Name:

Re-issue card for:
Myself
Other card holder	Name
Other card holder	Name
Other card holder	Name

Note: all cards will be mailed to the parent’s address as listed in our system.

Report problem with using the card