Meet with an EarlyON Educator Request
Thank you for letting us know that you would like an EarlyON in Waterloo Region and the City of Stratford team member to meet with you. Please complete the form below and a team member will connect with you.
Name
First Name
Last Name
Where do you live?
Waterloo Region
The City of Stratford
Other
What is your KEyON QR code number? (number on the back of your KEyON tag). If you do not have a KEyON tag, you will receive your key tag when you visit an EarlyON location first time in person. If you don't have a KEyON account, please create your KEyON account at www.keyon.ca. A KEyON account is required to attend Meet with an EarlyON Educator.
Which EarlyON location is near to you:
Please Select
EarlyON Cedar Creek (55 Hilltop Drive, Ayr)
EarlyON Oak Creek (80 Tartan Ave., Kitchener)
EarlyON Riverside (250 William St., Elmira)
EarlyON Roger Street (161 Roger St., Waterloo)
EarlyON St. Boniface (225 Starlight Avenue, Breslau)
EarlyON Water Street (73 Water St., N., Unit 105 Cambridge)
How old are the children of whom you are a parent or caregiver? (Select all that apply)
Pregnant/Adopting
0-12 months
1-2 years
3-4 years
5-6 years
7+ years
What is the best time of day for our EarlyON Team Member to contact you?
Weekday Morning
Weekday afternoon
Weekday evening
Other
How would you like to meet with an EarlyON educator?
In person
Virtually via telephone, Zoom, or Microsoft Teams.
Our team can connect with you via email or phone. Please enter your contact information below (email or phone number).
What are you hoping to discuss with our EarlyON team member?
Submit
Should be Empty: