Request to Participate
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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 interactions
Visual Arts and Crafts
Gardening
Housekeeping
Cooking/Baking
Carpentry
Story Telling/Reading
Music
Outdoor Activities
Knitting, Crocheting and Sewing
Dramatic Play
Other
Have you completed a Vulnerable Sector Background Check in the past 6-months?
*
Yes
No
I don't know / I'm not sure
How did you hear about us?
*
Referred by a friend or family member
Newsletter
Website or Social Media
Other
Submit
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