Online Order Form

Name of Centre, School or Daycare (as it is to be published)

Civic Address / Location Address (as it is to be published)

Phone Number (as it is to be published)

Location Phone

Primary Contact Person:

First Name
Last Name
Position
Organization
FAX
E-mail

Name of Owner or Manager (not published)

Complete Mailing Address of Centre or School

School or Centre Email

Ages of Children Cared For (eg. Preschool 3-5 years, Group Childcare 18 months - 6 yrs and Out of School Care 5 - 12 years)

What type of listing would you like?

Premium $40 same as Basic with link to a webpage created by us (fill out as much of the form as possible) or a link to your own website (just the Bright Blue plus your website address

Basic $25  name, address and phone number on City Page of you choice (fill out sections in Bright Blue)

Upgrade / renewal of an existing listing

Promo Coupon #

Facility Type

Preschool                                Group Childcare Center                   Family Daycare / Home Childcare          Out of School Care                     
Kindergarten (curriculum based program)  

Would you like the school email published ?

Yes No

 

Website Address to Link To (if applicable). If you do not have a website we will use the information on this form to create a free web page for you)

Philosophy / Mission Statement:

Program Information / Program Highlights:

Centre Features:

Indoor Waiting Area                   Snack / Meal Area                     Nap / Quiet Room                      Reading Room / Library              
Computer Terminal(s)                  Onsite Outdoor Play Area/ Playground  Offsite Outdoor Play Area             Air Conditioning                    
Close To Schools                      

Other Centre Features (please use this space to indicate which schools you are close to as well)

School District(s) / Communities Served

Is your Centre or Daycare Licensed?

Yes
No

Years In Business

Curriculum Type (mark all that apply)

Academic           Developmental      Interactive        Special Education
Montessori         

Care Offered

Full Time  Part Time  Drop In    Evenings 
Weekends   

Capacity - Maximum Number of Children Cared for at the centre, daycare or preschool

Subsidized Spaces Available?

Yes No

Hours of Operation

Integrated Special Needs?

Yes No

Toilet Training Required?

Yes
No
Depends on Age of Child

Up to Date Immunizations Required?

Yes No

Teacher to Student Ratio (for all age categories. Eg. Infant/Toddler 1:3, Preschool 1:8, Out of School Care 1:10)

Languages Spoken by Staff

Staff Qualifications

Staff have up to date CPR and/or First Aid?

Yes No

Fee Schedule (optional)

Please Select the Meals and/or Snacks Provided by the Centre, School or Daycare

Breakfast        Lunch            Dinner           Morning Snack  
Afternoon Snack  Water            Juice            Milk           

Accommodation for Special Diets (eg. Vegan, Kosher, Allergies, etc.)

Yes No

Do you provide transportation to and/or from your facility or home? If so please supply details and additional costs.

If you are affiliated with any churches and/or religious organizations please use this space to tell parents:

Are you part of any Professional Organizations or Associations related to the field? If so, please supply names here:

Web Page

Please link to my website directly
I do not have a website and need a free web page created
I do have a website but would prefer a free web page created

If you would like a free web page created, please indicate which background color you would like on the page:

White
Cream
Pale Pink
Pale Purple
Pale Blue
Pale Green
Pale Yellow
Pale Peach
Let us choose an appropriate color based on the graphic

Facilities may choose EITHER one graphic, one photo or one logo for their web page. Photo Galleries containing 10 photos (with descriptions) can be added for an additional $25 per year.

I will send you my logo to use on the web page        I will send you a photo to use on the web page         
I would like to have a 10 picture Photo Gallery added for $25 per year            I would like one of the graphics below added

If you chose to have a graphic added to the web page instead of a logo or photo, please indicate your graphic preference:

Crayons
Girl Dancing
Wizard
Baby Block(s)
Fairies
Sports
Clowns
Balloons
Transportation (planes, trains)
Sandcastle
Butterfly
Jack-in-the-box
Teddy Bear(s)
Puzzle Pieces

If you have a graphic request please write it here and we will do our best to find a suitable graphic for your web page