Request Childcare

Please complete the form below and a member of our team will follow up to confirm availability and details.

Family Information

Full Name First and last name Please enter your full name.

Email Address Please enter a valid email address.

Phone Number Please enter a valid phone number.

Preferred Method of Contact

Phone Email Text

Service Location

Service Address Street address, Toronto Please enter the service address.

Condo / Building Name (if applicable)

Parking / Access Notes Optional but helpful

Childcare Details

Date of Care Please select a date.

Start Time Please select a start time.

End Time Please select an end time.

Type of Care Requested

Babysitting Nanny Support Event Childcare Overnight Care Other (please specify)

Child Information

Number of Children Please enter the number of children.

Child(ren) Ages Please enter the ages of the children.

Any special considerations we should be aware of? Allergies, routines, special needs, pets in the home, etc.

Care Preferences

Experience or qualifications requested Optional — e.g. infant experience, CPR certified, multiple children, event experience

Have you used professional childcare services before?

Yes No

Would you like to request a previously assigned caregiver (if applicable)?

Yes No Not applicable

Additional Information

Is this a last-minute or same-day request?

Yes No

Any additional details you'd like us to know? Optional

Final Confirmation

By submitting this request, you acknowledge that availability is subject to confirmation and that booking terms will be shared prior to final confirmation.

I understand and agree

White Glove Nanny reserves the right to decline requests that do not align with our service standards.

Once submitted, we will review your request and contact you promptly to confirm availability and next steps.