1. Contact Information
*First Name:
*Last Name:
*Street Address:
*City/Town:
Other:
*Postal Code:
Major Intersection:
*Phone:
*Email Address:
Fax Number:
2. Child Care Requirements
Date of Birth (dd/mm/yyyy)
Child 1:
Child 2:
Child 3:
Child 4:
(dd/mm/yyyy)
Date of care required on:
What type of care are you looking for?
Licensed Child Care Program Licensed Home Child Care Agency Unlicensed Child Care Provider
Type of care needed Please select any of the following options that you require:
Full-time (5 days a week)
Part-time (less than 5 days a week)
Part day
Full day
Before school
After school
Evenings
Weekends
Statutory Holidays
Christmas Break
March Break
PA Days
Summer camp
Short term
Junior Kindergarten
Senior Kindergarten
Montessori
Special Needs: Do you currently have a Resource Consultant
Quality First
Nursery School
Summer School Age Care
Shift Care
Co-op Nursery School
*Do you prefer that your child care be located near the address given above?
Yes No
If 'No', is there another location that the care should be near? Please be specific (including an address or postal code if possible)
Do you require wheel chair accessibility?
Yes No
Please list any other Types of Accessibility required: i.e. this may include information about services for the blind or hearing impaired, i.e.: elevators with Braille.
*Do you currently have or are you pursuing a child care subsidy?
Yes No
*Do you require information about child care subsidy?
Yes No
Does the child require transportation to and from school?
Yes No
If so, please state the school:
Do you have any language requirements? (i.e., french-speaking) If so, please state:
Do you have any additional requirements?
3. Additional Information
Have you used our service before?
Yes No
If 'No', how did you hear about us?
We would like to know if our service has been of assistance to you. May we call you to follow up with the information we send?
Yes, please contact me No, don't contact me
Can we call you back in the near future with 8 quick questions about customer service?
Yes, please contact me No, don't contact me
All search results will be emailed, contact the Child Care Directory and Information Line for other options on how to receive a child care search. A CCDIL representative will respond to your child care search within 3 business days.
The Child Care Directory and Information Line (CCDIL) is intended as a listing only. We do not monitor, promote, or recommend any child care options -provided on the child care search. It is the responsibility of the parents to interview and select the child care option that best meets their needs.
Contact CCDIL for further information, call 905-875-0235 Monday to Friday 8:30am-4:30 pm or email us at
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
.