Contact Me - Request an Interview - Valerie's Play House

Please Note
The daycare does NOT accept Subsidy
The daycare does NOT accept school aged children

Email
valeriesplayhouse@hotmail.com
Please note to set up an interview you need to fill out the form below

Request for Interview Form

This form will give me a good understanding of what type of care you need and whether or not I can accommodate your needs. This form also helps shorten the interview, as it answers most of my question. This means more attention will be given to your questions and the sooner you can get your little one home to bed.

Please make sure you fill out every question with a "*" or the form will not send.

Parent Information

* Indicates required field

1a) Name of Parent/Guardian #1 *

First

Last

1b) Job Title *

1c) Email *

1d) Address *

1e) Neighourhood living in *

1f) Phone Number (home/cell) *

1g) Name of Parent/Guardian #2 *

First

Last

1h) Job Title *

2a) How many kids, do you need care for? *

Please fill out one form per child
If twins (same information) just fill out one form with both names

2b) Requesting ? *

Waiting List

My waiting list is not first come first served. When a spot opens up I contact (email) all those looking for care around the time of the opening. I have those who are still looking for care to come in for a follow up interview, to make sure you still like my program. Once I have re-meet with all those who are still looking for care, I will decide who gets the spot.

Please note that being on my waiting list does NOT guarantee you a spot.
There is NO fee for going on Valerie's Play House Waiting List.

Child's Information

3 a) Child's Name *

3b) Child's Age at time care is to start *

3c) Child's Date of Birth *

3d) Child's Age at time of filling out this form *

3e) Child's sex *

Information about Care Needed

4a) Start Date *

4b) What year do you want care to start in? *

4c) End Date (If one) *

4d) I have checked the Opening setion to see if a spot will be open for when I need it *

To check out the daycare "Openings" check here

4e) Date parent is returning to work *

4f) Would you like transition days before returning to work? *

4g) I have read the transition policy on this website *

The transition policy can be found in the Fees - Other Fees section of this website.

4h) What hours do you need (start time/end time) *

4i) Type of year *

School Year - Sept to June only
Modified School Year - Full or Part time care during Sept to June, and Tue, Wed. & Thur during July and August (Summer)

4j) Type of Hours *

4K) What days are do you need during September to June. (Mon, Tue, Wed, Thur, Fri) *

4L )What days do you need during July and August? *

4m) I understand that the daycare will not open early or close late. I can make it during the daycares hours of operation *

4n) I understand that my child needs to be in care no later then 8:30am *

4o) I understand that the daycare will not open before 7:30am (teacher care) or 8:00am Regular care *

4p) I understand that the daycare will NOT stay open past 5:00pm *

4q) Type of days *

4r) Type of Care you are looking for *

4s) Are you looking for long or short term care *

For Regular Part Time Care, Temporary Care, & Alternate Care
All Year - Modified Year
Regular hours are 8:00am to 4:00pm
Extended hours are 8:00am to 5:00pm

For Teachers
September to June
Regular Teacher Hours 8:00am to 4:00pm
Extended Teacher Hours 7:30am to 5:00pm
July and August
Regular Teacher Hours 8:00am to 4:00pm
No extended hours

All children must arrive no later then 8:30am

Food and Diet Information

Please not that the following foods can cause an allergic reaction. I serve all these in my daycare. Your child MUST have tried them each five (5) time on five (5) different days before starting daycare.

5a) Has your child tried Peanut Butter *

5b) Has your child tried Honey *

5c) Has your child tried Kiwi *

5d) Has your child tried Strawberries *

5e) Has your child tried Oranges *

5f) Does your child have a special Diet. If yes, what is it. *

5g) What does your child drink from *

5h) Can your child hold a bottle/sippy cup without help? *

5i) I am okay with my child no longer using a bottle once he/she turns 13 months *

5j) Does your child have any known food allergies *

5k) If your child still eats baby food. Are you okay with sending it in a pouch instead of a jar? *

5L) Can your child eat finger foods *

5k) I am okay with the daycare not being NUT free *

Naps

6a) Does our child nap *

6b) Does your child sleep with a stuff toy *

6c) Does your child use a sleep sac *

6d) What times are your child's naps *

I can accommodate a morning nap if needed

6e) Has your child ever climbed out of a crib or play pen? *

6f) Does your child need a pacifier during nap time *

6g) How many naps does your child have in a day *

6h) How long does your child nap for *

6i) What does your child nap in at home *

6j) How does your child fall asleep at home? *

Other Information

7a) My child's immunizations are up to date *

Please Note:
Valerie's Play House ONLY accepts children who are vaccinated.
It is 100% legal for a private home daycare to refuse care to a child who isn't vaccinated

7b) I am okay with giving a copy my child's immunization records *

7c) Do you have or trying to get subsidy *

Valerie's Play House does NOT offer subsidy spots.

7d) I am okay with giving a photo copy of my child's Birth Certificate or Health Card (to prove child's age) *

7e) Are you planning to put your child into a preschool like program once old enough *

7f) If you are thinking about sending your child to a preschool, at what age will you like to send them. *

7g) Is your child on 1 or more waiting lists *

7h) I am okay with not using Baby Powder or items that contain Baby Powder, such as Pampers (The provider is highly allergic) *

7i) Do you have back up care *

7j) Is Valerie's Play House close to "where you live", "work" on the "way to work", "out of the way" or "other. (if other please explain). *

To see a map of where Valerie's Play House is Located Click Here

7k) Does your child have/need an Epi-Pen or Epi-Pen type of device? *

7 L) If your child has/needs an Epi-Pen or Epi-Pen device, WHY? (food, bees, etc) *

Other Child Care

8a) Has your child been in a daycare setting before *

8b) If your child has been in a daycare (home or centre before) why was your child removed for the daycare? *

8c) Can I contact your old provider/centre? *

8d) If yes, please provider her/their name and contact information. If NO, please state why not. *

8e) Do you take your child to play groups or other places where your child can socialize with other children (around the same age)? *

Behaviour

9a) How does your child act around other children? *

9b) How does your child act aound new adults? *

9c) Does your child like to climb? *

9d) Do you discipline your child? *

9 e) How do you discipline your child? *

If your child is too young or isn't born yet - how do you plan on disciplining your child

9f) Do you use the word "NO" around your child? *

9g) Does your child cry, caugh or gag until he or she vomites? *

Diapers/Toilet Trained

10a) What does your child wear? *

10b) I am okay with not using Pampers Diapers/Pull Ups as they contain Baby Powder *

10c) Is your child toilet trained? (see potty training guide to the right) *

Potty Training Guide

a) Parent Trained = NOT potty trained. The child must be told or taken to the bathroom on a regular basis.

b) Semi Potty Trained = child takes him/herself to the bathroom or tells someone they have to go. Has occasional accidents while awake.

c) Fully Daytime Trained = child takes him/herself to the bathroom and has no accidents while awake.

d) Fully Daytime Trained + nap/night time trained = child takes him/herself to the bathroom. wakes up and goes to the bathroom. has no accidents during the day or night.

10d) If your child is toilet trained, when was his/her last accident *

10e) When toilet training or still having accients, are you okay with your child wearing pull-ups? *

To read Valerie's Play House Toilet Training Policy click here

10f) I am willing to follow the daycare's toilet trainging policy? (once its time to potty train) *

To read Valerie's Play House Toilet Training Policy click here

Your child's home life

11a) Who does the child live with? *

11b) Does your child have sibilings *

11c) What are the sibilings names and ages *

11d) Are there any custody arrangements I should now about? *

11e) Does your child have special needs, if yes what are they *

11f) Are you planning on having any more children? *

Your child's Schedule

12a) I understand that my child needs to be on the daycare schedule *

12b) Please tell me about your child. *

Payment Information

13a) I have read the Fees section for the type of care I am looking for *

Teacher Friendly Fees
Part Time Fees
Temporary Fees
Full Time Fees

13b) I understand that I have to pay a non-refundable enrollment fee at the time of signing a contract (exception: alternate care) *

13c) I understand that I will have to sign a contract before care starts *

13d) I understand that the tuition payment is due in advance of care *

13e) I understand that the tuition payment does not vary due to any reason? *

Animals

14a) Do you have any pets at home *

14b) I am okay with there being a cat in the daycare *

Please note the cat doesn't come in the daycare area during daycare hours.

14c) How is your child around animals *

Expectations

15) What are your expectations for child care *

16a) I understand that Valerie's Play House offers a play based program, focusing on social skills *

Play Based Program = Not Structured
There are set times for snacks, lunch, naps and school runs. But we spend most of the day doing free play. I play with them and am always talking to them. I talk to them about colours, shapes, letters etc.

16b) I understand that Valerie's Play House is NOT a licensed daycare *

Because I am not licensed which means that I can NOT accept subsidy.

16c) How did you hear about Valerie's Play House *

To request an interview

I do interviews Monday to Friday at 5:30pm. What day of the week would you like your interview to be on. (please pick at least three days). - I will reply via email, so check your junk folder. (valeriesplayhouse@hotmail.com) *

If you have any problems submitting this form please email me. valeriesplayhouse@hotmail.com

Please note
- That your child MUST come to the interview.

- The interview will go no later then 6:15pm. So make sure you are on time.

- I do NOT do interviews on the weekends or during daycare hours.

- If for some reason only one parent/guardian can make the interview that is Okay. If the parent/guardian that does attend the interview likes me and my program another interview/meeting can be set up for the parent/guardian who was unable to attend the first interview.

- Please feel free to bring a list of questions with you.

- I will reply via email, so check your junk folder. (valeriesplayhouse@hotmail.com)

Accepting a spot at Valerie's Play House

- Both parents/guardians must sign the contract.

- Contract signing MUST be done within five (5) business days of stating you want the spot. After five (5) business days the spot will no longer be held and I can give it to another family. I can do two (2) contract signing meetings if both parents/legal guardians can't come on the same day. The enrolment fee must be paid no later then 5:00pm the day after the contract has been sign. If the enrolment fee is not paid on time, I have the right to void your contract and give the spot to another family.

Submit

I Would Love to Have You Visit Soon!

Regular Hours

September to June
Mondays to Fridays
Regular Hours: 8:00am to 4:00pm
Extended Hours: 8:00am to 5:00pm

July & August
Tuesday to Thursday
Regular Hours: 8:00am to 4:00pm
Extended Hours:8:00am to 5:00pm

Teacher Hours

September to June
Monday to Fridays
Regular Hours 8:00am to 4:00pm
Extended Hours 7:30am to 5:00pm

July & August
Tuesday to Thursday
Regular Hours 8:00am to 4:00pm
Extended Hours: No Extended Care

Location

Woodroffe Ave
(between Carling Ave and the 417)

To request an interview click here