Skip to Main Content
Loading
Loading
I Want To...
Discover Bristol
Services
Business
Departments
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Bristol FD Forms
Bristol Forms
Bristol PD Forms
IT Forms
Registrar Forms
Water and Sewer Department
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Bristol Police Department - Day Care Center Registration
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
BRISTOL DAY CARE REGISTRATION FORM FOR EMERGENCY NOTIFICATION BY POLICE
Effective October 1, 2015, under CT Public Act 15-161, day care centers are required to register certain information with their local law enforcement agency. By registering, law enforcement can notify day care centers of certain emergencies that include fire, a criminal act, an emergency or act of nature such as an earthquake, tornado, hurricane or storm, in the vicinity of such day care center that may endanger the safety or welfare of the children at such day care center.
IMPORTANT:
If your day care receives an automated message from law enforcement, listen to the entire message, determine if it applies to your facility, and take the appropriate action.
CHANGES TO CONTACT INFORMATION:
If any of your contact information changes, promptly notify Bristol PD: (860) 584-3011
NAME OF DAY CARE FACILITY:
*
DAY CARE ADDRESS:
*
Bristol CT 06010
NAME OF LICENSEE:
*
CONNECTICUT LICENSE NUMBER:
*
PRIMARY PHONE FOR NOTIFICATIONS:
*
TYPE:
*
Land
Cell
SECONDARY PHONE (OPTIONAL):
TYPE:
Land
Cell
COMMENTS:
REGISTRATION DATE:
*
REGISTRATION DATE:
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
ADA/Title VI
Bristol GIS
Bristol Portal
City of Bristol Intranet
City Meeting Calendar
Facebook
Instagram
YouTube
Water and Sewer Department
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow