Keep Baby Safe  Logo
  • Keep Baby Safe Application

    Funding for Cribs, Mattresses and Car Seats
  • All form fields must be filled out completely for your application to be submitted.

    You will be able to save your work should you need to exit the application before submitting.  It is not advisable to fill out this application on a public computer. 

    This application should be submitted by a certified HSCA or Social Worker that indicates the need for a child safety containment item(s). Approval is on a case-by-case basis. All families must live in one of these three catchment areas - Northumberland, Hastings, or Prince Edward County.

    Please reach out to Kelly Noakes at kelly.noakes@thechildrensfoundation.ca if you have any questions. 

  • Section 1: Applicant Information

  • Parent/Guardian Information

  • Section 2: Qualifying Criteria

  • 3. Your Request

  • Section 4. Permissions & Signature

    Almost done!
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  • If you have any questions about this form, please submit an email to info@thechildrensfoundation.ca

     

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