Remote Learning - Request for care

remote learning request for care 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.

Please note this form doesn't always work well on cell phones.
If possible please use a desk top computer or a lap top.
Sorry for the inconvenience

Parents information

* Indicates required field

Date (Month/Day/Year) *

A-1) Name of parent /guardian #1 *

First

Last

A-2) Relationship to child *

A-3) Email *

A-4) Address *

Line 1

Line 2

City

State

Zip Code

Country

A-5) Home phone number *

A-6) Cell phone number *

A-7) Place of work/school *

A-8) Job Title *

A-9) Name of parent/guardian #2 *

First

Last

A-10) Relationship to child *

A-11) Address (if different then parent/guardian #1) *

Line 1

Line 2

City

State

Zip Code

Country

A-12) Cell phone number *

A-13) Place of work *

A-14) Job Title *

B-1) How many kids do you need remote learning care for? *

You will need to fill out one form per child.

Child's general information

C-1) Child's Name *

C-2) Child's Birthday (Month/day/year) *

C-3) Child's age *

C-4) Child's grade *

C-5) Child's Home School *

C-6) Your child's school board *

The daycare is only accepting students from the English program at OCDSB at this time

C-7) Child's remote teacher (if known) *

C-8) Start Date (Month/day/year or Month/year) *

C-9) Hours needed (Start/end times) *

C-10) Does your child have any speacial needs/learning issues that I need to be aware of (on the spectum, ADHD etc.). If yes, please let me know what I can do to help your child. *

C-11) Does your child have any allergies? *

C-12) Are your child's immunations up to date? *

C-13) Are you okay with giving me a copy of your child's immunation records? *

C-14) Are you okay with giving me a copy of your child's health card? *

C-15) Does your child have any medical issues I need to be wear of? *

C-16) Tell me about your child *

C-17) Who does your child live with? *

C-18) Are there any custody arrangenents I should know about? *

covid-19 questions

Is anyone in the household a Frontline worker? *

Yes, at least one (1) household member is a Frontline work with direct contact with covid-19 Yes, at least one (1) household member is a Frontline work with NO dircet contact with covid-19 No, no one in the household is a Frontline worker

What precautions are you taking to help ensure no one in your home gets covid? *

Will everyone in the house be getting a covid vaccine once one is avaiable? *

Yes No Unsure

Due to the size of the daycare/classroom there will be no social distancing. Are you okay with this? *

It is NOT mandator for anyone in a private daycare to wear a mask/face coving. Are you okay with no one (kids & adults) not wearing a mask while your child is here? *

General information

D-1) You will need to provid your child with a laptop daily. Are you okay with doing this? *

D-2) Your chlid's laptop and other items brought are the resposiblity of your child. The daycare/provider are not responsible for lost/stolen or damaged items. Do you understand and accept this? *

D-3) The daycare/provider is resposible for supervising your child only. The daycare/provider is NOT resposible for your child's education. That is the resposibity of your child's teacher. Do you accept this? *

D-4) Your child can ONLY attend on scheduled school days. There will be no care offered during P.D days, School Holidays/Stats etc. You are resposible for finding care on these days. Are you able to do this? *

D-5) The daycare has a secret facebook group to communiate with parents. Do you have a facebook account? *

D-6) The daycare is set up for children between the ages of 10 months and 4 years old. There will be daycare children here. All the children will be in the same room. Your child will need to be respectful during nap time. Will your child be able to do this? *

D-7) Do you okay with care ending on the last day of school? *

Yes No Unsure

Fee information

E1) Have you read the remote learning fee section? *

Yes No

Click here to view the Remote Learning Section

E-2) Are you willing to pay the daycare enrolment fee? *

Yes, I am willing to pay an enrolment fee No, I don't want to pay an enrolment fee Unsure

E-3) Are you willing to sign the daycare/remote learning contracts? (after reading them) *

Yes, I am willing to sign the contracts after reading them No, I don't want to sign any contracts Unsure

E-4) Your child's tuition payment is due in advance of care. Do you understand and accept this? *

Yes, I understand and accept this No, I don't want to pay in advance of care I don't understand

E-5) Do you understand that the tuition payments don't vary for any reason? You will pay the same amount every two weeks from the time your child starts until the end of June. * *

Yes, I understand No, I don't like and will not agree to it I don't understand

E-6) The daycare ONLY accepts payment via Electric Money Transfer (EMT). Are you willing to pay via EMT? *

Yes, I am willing pay via EMT NO, I will not pay via EMT I don't know how to pay via EMT

Animals in the house

F-1) Do you have any pets at home? *

F-2) Does your child have any known animal allergies? *

F-3) Will your child be okay with a cat being in the house/daycare? *

F-4) How is your child around animal? *

Just a few more things to go over

G-1) Do you understand that Valerie's Playhouse is NOT resposible for your child's education. That Valerie's Playhouse is just resposible to proved a safe place for your child to do his/her remote learning. *

G-2) The daycare will not be providing lunch/snacks for remote learners. The tuition payment reflexes this. Do you agree to send your child daily with a lunch/snack? *

G-3) The provider will need access to your child's google classroom acount (login/password) so she can print off assignments etc. for your child. Are you okay with this? *

G-3) Do you understand that Valerie's Play House is not a licenced daycare? *

G-4) How did you hear about Valerie's Playhouse *

Setting up the interview

I do interviews Monday to Friday at 5:30pm. Please give me at least three dates you will be able to come for an interview.I will reply via email, so check your junk folder. (valeriesplayhouse@hotmail.com) *

Interviews -

- Parents will sit on the sofa (an old quilt will be on the sofa)
- Parents and children (4 yrs +) MUST wear a mask/face covering. It is the parents responsible to bring their own mask/face covering.
- Parents are responsible for their child during the interview
- The child needing remote learning care MUST attend the interview.
- Siblings are welcome to attend if need be.
- The house/daycare bathroom is off-limits during the interview.

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

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 Playhouse

- 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

Thank you for filling out the form

I Would Love to Have You Visit Soon!

Regular Hours

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

July to August
Monday to Thursday
Regular Hours: 8:00am to 4:00pm
Extended Hours: 8:00am to 5:00pm
Extra Extended Hours: 7:30am 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
Summer Hours 8:00am to 4:00pm
or
no care

request an interview click here

Click here to write a review

Location

Woodroffe Ave
(between Carling Ave and the 417)