Playing for Keeps

Playing for Keeps Application
All form fields must be completed in full for your application to be submitted.

You may save your progress if you need to exit the application before submitting. Please note that it is not recommended to complete this application on a public computer.

Before starting your application, please have the following document available:
- Canada Child Benefit (CCB) Document. This serves as proof of income for all parents/guardians living in the same household. CCB statements are issued annually by the Federal Government in July. We are currently accepting CCB documents issued in 2025 (tax year 2024). Please visit the program page on our website for instructions on how to obtain this document.
Note: Application processing may take up to three (3) weeks, or longer during peak periods. If your application is approved, we will notify the program organization directly and request an invoice from them. Funds will be issued directly to the program organization within approximately two to three (2–3) weeks after an invoice is received.

Funding for PFK applicants is available up to $250 per six-month period (January–June and July–December), to a maximum of $500 per calendar year. Unused funds do not carry over into the next calendar year.

Section 1. Participant Information

Applications for children/youth up to age 21 are invited to apply
What county does the participant reside in?*

Hastings CountyNorthumberland CountyPrince Edward County

Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Has the child/applicant above received funding from The Children’s Foundation in 2026?*

YesNo
Which program did the child receive funding for?

Parent/Guardian's Information
Parent or Guardian's Name*

First NameLast Name
Address*
City*
Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Is there a second parent or guardian in the household?*

yesno
Please provide names of all Parents/Guardians in the household
How many children live in the household?*
If there is more than one child in the household, what age are they?
Add all ages, separated by comma.

Section 2. Highland Shores Children's Aid
Do you currently have an open file involved with the Highland Shores Children’s Aid Society?*

YesNo
What is your worker’s name?
If applicable
Worker's email address
example@example.com

Section 2. Qualifying Criteria
Annual GROSS Household income before taxes.*
Per your current Income Tax return for all individuals.
I receive the Canadian Child Benefit or CCB for my children.*

YesNo
Please attach your current CCB (Canada Child Benefit) Benefit Notice. (Acceptable file formats: pdf, jpg, jpeg, png, screenshots). Visit our program's page on our website to learn how to obtain this form.*

Cancelof

If yes, please attach a copy of your ODSP or OW slip (acceptable file formats: pdf, jpg, jpeg, png)

Cancelof
Section 3. Program Organization Information

Program organization name, such as the YMCA, Quinte West Soccer Club, etc.
Program Organization Name *
Name of the Organization where your child will be participating in sports, arts, music etc.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization email*
example@example.com
Contact telephone*
Type of activity*
soccer, music, art, cheerleading etc
Approximate start date of activity*

MonthDayYear
Date
Approximate end date of activity*

MonthDayYear
Date
Total registration cost*
The total cost for the length of the program.
Amount Funded
Previous funding for the current year.
This registration is for (pick one)*

One session (ie. one program for a set number of weeks) or,Ongoing sessions (program runs all year, weekly lessons etc)Other
Is there anything else you'd like us to know?
Internal Comments
The Children's Foundation is a donor supported Organization. How will this funding impact your child and family positively?*
What types of sports, programs, training, camps would your child like to participate in? Please give us an idea of what your child would love to participate in
i.e. tech camps, life skills, sensory play, age-appropriated dances etc.
Invoice I.D. #
Amount funded
Date Funds mailed

MonthDayYear
Date

Section 4. Permissions & Signature

Almost done!
I have thoroughly read and understand the guidelines of Playing for Keeps and agree that this application meets the guidelines and is truthful.*

Yes
I give The Children's Foundation permission to contact me for testimonials and impact stories.*

YesNo
Guardian Signature*

Clear
Date signed*

MonthDayYear
Date
If you have any questions about this form, please submit an email to info@thechildrensfoundation.ca
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