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Backup Care, Care@Work, and Child Care Referral Form

You can pre-register for backup care for children and adults, Care@Work, or a child care referral free of charge at any time. Because life is unpredictable, it's a good idea to pre-register before you need care.

Complete the form below to indicate the services you are pre-registering for. A member of the WorkLife staff will respond within three business days after receiving your form to give you futher information about next steps.

If you have questions, you may contact WorkLife at or 443-997-7000.

Pre-Registration Form


A Johns Hopkins email must be entered for pre-registration.
Please indicate your Johns Hopkins affiliation*
JHU Division
JHMI Division
Benefits Status*
All applicants will be pre-registered for backup care and Care@Work. Check if you would like to also be pre-registered for the following:


Updated 7/6/2016