Submit a New Unlicensed Location

Submit a New Unlicensed Location Waiver Information
In order to complete the registration process and ensure that your location will be posted online, please follow the steps below:
1) Download the instructions & waiver and print them
2) Submit the waiver to one of our oeyc locations by the means outlined in the instructions.

Should you have any questions or problems downloading this information, please contact the Resource Coordinator @ 519-358-1451 x203 or email us at oeyc@cics.on.ca.

Owner Name:
 First Last
Business Name (if applicable):
Phone Number:
Fax Number:
E-mail:
Address  
Street # & Street Name:
Appartment # or Unit #:
City or Area:
Postal Code:
School Regions  
Chatham
 Saint Marie School
George P. Vanier School
Monsignor Uyen Catholic School
Our Lady of Fatima School
St. Agnes School
St. Joseph School
St. Vincent School
St. Ursula School
Victor Lauriston P.S.
Winston Churchill P.S.
Gregory Drive P.S.
Indian Creek Road P.S.
King George P.S.
McNaughton Ave. P.S.
Queen Elizabeth II P.S.
Tecumseh P.S.
John N. Given P.S.
Ebenezer Christian School
Chatham Christian School
Wallaceburg
 Christ the King School
Holy Family School
St Elizabeth School
A.A. Wright P.S.
D.A. Gordon P.S.
H.W. Burgess P.S.
Wallaceburg Christian School
Blenheim
 St. Mary School
St. Anne School
Harwich Raleigh P.S.
W. J. Baird P.S.
Tilbury
 Saint Francis School
St. Joseph School
Tilbury Area P.S.
Thamesville
 St. Paul School
Thamesville Area P.S.
Good Shepherd
Ridgetown
 St Micheal School
Ridgetown P.S.
Ridgeview Moravian P.S.
Dresden
 St. Micheal School
Dawn-Euphemia P.S.
Dresden Area P.S.
Dresden Mennonite School
Merlin
 Merlin Area P.S.
Bothwell
 St. Ignatius School
Zone Township P.S.
Wheatley
 Wheatley Area P.S.
Pain Court
 Saint Catherine School
Grande Pointe
 St Philippe P.S.
General Description  
General Description:
Unlicensed:
Years of Experience:
Training:
(check all that apply)
First Aid CPR ECE Diploma Hannen Program DSW Diploma
Resource Teacher Certificate CYW Diploma Mother Goose
Nobody's Perfect Kids Have Stress Too Home Child Care Course
Other:
****Under the Day Nurseries Act, an informal home child care provider may provide care to five children 10 years of age and under per household at one time - no matter how many adults are involved in providing the care. The caregiver’s children, regardless of their age, are not counted in the total of five children.
      Total Capacity:
      Care Provided - Infant:
      Care Provided - Toddler:
     Care Provided - Preschool:
     Care Provided - School Age:
Hours of Operation  
Days Open (check all that apply): Hours of Operation (indicate times open):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
      Months Open:
January February March April May June July
August September October November December
Shutdowns:
Stat Holidays P.A. or P.D. Days Snow/Weather Days
Other:
Additional Information  
Activities Offered:
Lunch Provided
Reading/Literacy
Outdoor Active Play
Circle Time/Songs, Games, Finger Plays
Craft/Creative Minds
Snacks - Morning, Mid Afternoon
Rest/Naptime as Child's needs
Stimulating Toys and Play Activities (age appropriate)
Dramatic
Assistance with developmental goals, such as potty training; flexibility for nursing mothers etc...
Environment:
Smoker
Smoker in home
Pets
Pet Vaccinations:
Rabbies
Leukemia/Parvo (cats)
Distemper/Parvo (dogs)
Do You Have Access to a Vehicle:
Yes
Do You Have CSA Approved
Car Seats Available:
Yes No Some
Additional Information: