Better Kid Care Kit

Request Form

If you are a resident of Pennsylvania, complete the information below and click the "Submit" button. You should receive your Better Kid Care Kit within two weeks.

If you are not a resident of Pennsylvania, you will need to complete and mail our Out-of-State Order Form instead of submitting your request on-line. A check or money order is required with the order form.

Name:
E-Mail Address:
Business Name:
Mailing Address:

City:
State:
Zip Code:
Telephone Number:
County
How did you learn about the Better Kid Care Program?
How many children do you care for other than your own?

Have you ordered materials from the Better Kid Care program before?

Yes

Is your facility/home enrolled in Keystone STARS?

Yes