YEG COVID-19 Childcare Supporter Registration
This application is meant for childcare providers and babysitters who would like to support parents who are in need of childcare during the school and daycare shutdown in Edmonton Alberta.

Please note: ALL family members living in the home must not have returned from travel outside of Canada in the past 14 days AND must not be displaying any cold or flu-like symptoms. Equally, please confirm with parents who contact the providers that all children and family members are well before providing care.

Please stay safe and healthy!
Sign in to Google to save your progress. Learn more
Phone Number *
Are you full or available? *
Name *
Why do you want to help?
Area of the city or surrounding community - please use the map below to determine which area you fall into. Choose ALL that apply if you are willing to travel outside of your area: *
Required
How many children are you able to look after?
What ages are you able to care for? *
Are you a babysitter able to look after children in THEIR home or a childcare provider able to look after children in YOUR home? *
Are you offering free childcare or childcare for fee? *
Fee per child per day (include sibling rate if applicable)
Do you have first aid, ECE credentials or any other education or experience that you would like to note. (ie. Experience with special needs, etc) *
Are you offering regular care or emergency relief only? *
Required
Are you or anyone in your family displaying cold or flu-like symptoms OR have you or anyone in your immediate family returned from travel outside of Canada in the past 14 days? *
By clicking "I Agree" you consent to have your name, email, phone number and all information supplied above to potential parents and caregivers looking for childcare. You can remove yourself at any time from this list and you are in no way committed to providing childcare if you are contacted. It is up to the discretion of the parent and provider to arrange and schedule childcare. "YEG COVID-19 Childcare Support" does not screen childcare providers, we have only gathered a list of potential providers to help support parents who are in search of childcare. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms