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Emergency child care application for essential workers

Available to eligible health care, and other essential workers during the COVID-19 pandemic.

Emergency child care services are reserved exclusively for children of eligible health care, and other essential workers who have no other child care alternatives and are required to report to a work site. Complete the following form only if you require child care services during this time.

Thank you for your application

Your on-line application for Emergency Child Care has been received. A Region of Peel representative will contact you within 72 hours to finalize your application. If you do not hear from us within 72 hours, please feel free to contact us at:

A reminder: Please do not come into the office. We will contact you using the information you provided to finalize your application.


Parent or guardian (applicant)

Child 1 information

Add a 2nd child

Child 2 information

Add a 3rd child

Child 3 information

Add a 4th child

Child 4 information

Add a 5th child

Child 5 information

Care requirements
Emergency contacts and authorization for pick-up

Second parent or guardian (optional)

Contact 1 (other than parent or guardian)

Contact 2 (other than parent or guardian)

Additional information

Please note that there will be a follow up phone call from the Region of Peel and your childcare provider to further discuss your application.

Consent to collect information

I consent to the use and disclosure of my personal information by the Region of Peel – Human Services Early Years and Child Care Services Division for the purposes of arranging emergency child care with the YMCA, Salvation Army or any other approved agency for my child. I am an essential servicer worker eligible for emergency child care under the Ontario government guidelines relating to COVID-19.

Notice with Respect to the Collection of Personal Information(Municipal Freedom of Information and Protection of Privacy Act)

Personal information is being collected by The Regional Municipality of Peel, Service System Manager, under the legal authority of the Child Care and Early Years Act, 2014, s. 51, for the purpose of arranging emergency child care for essential workers as provided for in the Province of Ontario's orders under the Emergency Management and Civil Protection Act to respond to the Covid-19 pandemic. Questions regarding this collection may be referred to the Advisor, Early Years and Child Care Services, 10 Peel Centre Drive, Brampton, ON L6T 0E3, Tel: 905-791-7800 ext. 7264, Email:

By submitting this form, I acknowledge and understand that email is not encrypted and the security of messages cannot be guaranteed. For more information, please see the Region of Peel's Privacy Statement.