Center Administrator Contact Form

General Information

Thank you so much for your program's Parent Gauge order! We are excited to have you on board. In order to get you set up properly in the system, we need you to designate a program administrator, who will set up centers, staff, and children for your program.

Please fill out this form to designate your program administrator and we will be in touch soon after submission to get you started.

Visit the Parent Gauge™ FAQ for additional information or contact us at ParentGauge@nhsa.org

Program Details

Program Name (as you would like it to appear in the system)

Funded Enrollment

Program Administrator Contact Information

This individual will be assigned the Program Administrator role and permissions, and will be responsible for creating accounts for Center Administrators who can then create accounts for all staff.

First Name

Last Name

Title

Work Phone

Ext.

Domain

Contact Information