Child Care REQUEST form

This is where you will come each month to complete your request for childcare.
Your submitted schedule allows your child care provider to plan appropriately and ensure ratio requirements are met.

Updated Billing Policy Notice: we are no longer offering the provision of "free" vacation days. Each child care space (commitment to a set number of days per week as agreed upon between child care providers and families/guardians) holds immense value, and when families/guardians accept a space, they implicitly commit to honouring the associated costs, regardless of its usage.

Child Care Request Form

* Indicates required field

MONTH *

Parent/Guardian Name *

First

Last

Email *

Name of Child(ren) *

Who is your child care provider? (first and last name) *

Dates of care Requested, Enter dates as: numbers divided by commas (e.g. 1, 2, 3, etc) *

Drop off and pick up times requested. *

Are there any days your child will be absent, that they would otherwise be scheduled? Please include these dates here. *

Parent/Guardian acknowledgement,

It is the parent/guardian's responsibility to ensure all information provided is correct. It is the parent/guardian's responsibility to know and be aware of all policies regarding attendance, schedules and payment. *

I accept the terms of service

Submit