Child Care Referral Request

Find A Child Care Provider

Submit your child care request by simply completing the form and our staff will send you a list of child care providers.

*Please be sure to fill out all mandatory fields.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Children's Information
Are you looking for child care or preschool?*
- Select All
- Child Care
- Preschool
Number of children who require care?*
Age of Child #1*
Age of Child #2*
Age of Child #3*
Age of Child #4*
What elementary school is closest to you?*

This information helps us match Child Care Providers that serve your neighbourhood. If you require school-age care, please enter the name of the school your child attends.
Additional Information