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Elora Day Care Contact Form
We're honoured that you are considering Elora Day Care for your child. We pride ourselves on providing a superior home day care experience for Brampton families. Please fill out the form below so we can learn a little more about your child and your family's needs.
Sincerely,
Mrs. Judy, Mrs. Juel, and the EDC Team
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Parent's Phone Number
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Your answer
Parent's Name
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Your answer
Parent's Email
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Your answer
Child's Name
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Your answer
Child's Date of Birth
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MM
/
DD
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YYYY
Child's Age Today (How many years and/or months)
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Your answer
When would you like to start daycare?
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ASAP
July 31, 2023
September 3, 2024
Other:
Is your start date flexible?
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Yes
No
Other:
Has your child ever in daycare before?
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Yes
No
Other:
If yes, for how long? And why did you leave?
Your answer
Child's Allergies an/or Medical Concerns
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Your answer
Child's Current Medications or Dietary Restrictions
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Your answer
Is your child still breastfeeding?
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Yes (anywhere from occasionally to daily)
No (not at all, haven't for weeks or longer)
Can your child hold their own bottle?
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Yes, when sitting fully upright, without anything or anyone holding their arms up, for the duration of the entire bottle
No, they can only hold it when laying down or in a semi-reclined position (or with help)
No, they can only hold it for a short moment (less than 30 seconds), then they need help
No
Is your child eating solid food?
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Yes, including (non pureed, whole) foods like bread, pasta, meat, vegetables, cheese, etc
No, they can only eat semi-solid foods like yogurt, mashed potatoes, baby cereal, porridge, or pureed/blended food
No, they are on a fully liquid diet and/or only milk
Does your child regularly feed themselves self-serve foods? (Foods like dry cereal, pieces of meat or cheese, vegetables, baby cookies, etc)
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Yes, daily they can eat entire meals (of self-serve foods) on their own.
No, they only eat a few pieces on their own, then they get distracted and need assistance to finish.
No, they are still learning to pick up foods on their own.
What languages does your child hear at home?
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English only
Other:
Has your child spent time away from both parents?
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Yes, they regularly (at least once a week) spend the entire day (or at least 4 hours) at family's house, away from mom and dad.
No, they see other family members regularly, but they have never been away from both parent (for longer than 4 hours at one time) since birth
No, they haven't seen much of anyone else but mom and dad since birth
How attached is your child to you (and their other parent)?
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I've never left my child's sight (for more than 2 minutes) since birth
Very attached, they cry/scream when I leave the room even for a moment (less than 5 minutes)
Slightly attached; they don't cry when they see me leave the room, but they cry when I've been away for more than 5 minutes
Very independent. I can leave them (safely) in a room alone repeatedly (with no other family members or pets) and they see me come and go and continue to play on their own happily.
How did you hear about us?
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Recommendation from one of our parents
godaycare.com
daycarebear.com
kijiji.com
Google Search
Other:
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