Request to Participate

Request to Participate
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Which of our locations are you interested in attending? Select all that apply:*

Mooney's Bay Intergenerational Early Learning Centre (2826 Springland Dr, Ottawa, ON)Capital Child Care Centre (1230 Bank St, Ottawa, ON)
Are there any specific activities or tasks that interest you? Please select all that apply:

One-on-one interactionsVisual Arts and CraftsGardeningHousekeepingCooking/BakingCarpentryStory Telling/ReadingMusicOutdoor ActivitiesKnitting, Crocheting and SewingDramatic PlayOther
Have you completed a Vulnerable Sector Background Check in the past 6-months?*

YesNoI don't know / I'm not sure
How did you hear about us?*

Referred by a friend or family memberNewsletterWebsite or Social MediaOther
Should be Empty: