Meet with an Early Years and Child Care Navigator Request

Thank you for your interest in booking an appointment with an Early Years and Child Care Navigator. The information you share below will be visible to both the Navigator and the EarlyON professionals supporting our booking process. This information is private and confidential and will be used by the Early Years and Child Care Navigator team at the YMCA of Three Rivers under the terms outlined in their confidentiality statement.

Name*

First NameLast Name

Please enter your contact information below (email or phone number).*

What is your KEyON QR code number? (number on the back of your KEyON tag). If you do not have a KEyON tag, email us at earlyyearsinfo@ytr.ymca.ca to start the process. A KEyON tag is not required to book this appointment.

What would you like to speak with the Navigator about? (check all that apply)*

OneListChild Care SubsidySpecial needs resourcesOther

Do you need an interpreter for this appointment?*

YesNo

If yes, what language?

Which EarlyON location would you like to book to attend?*

Which date would you like to book? (Please choose one only)

EarlyON professionals can provide childminding for up to two children (ages 18 months and up) during your appointment if requested by 9:00 a.m. one business day in advance. Do you need childminding during your appointment?*

Yes, I require childminding.No, I will not be bringing my child(ren).

You require childminding. Please fill out your child's name and age: