Required fields are marked with asterisks (*)

Welcome to the EarlyON Participation Form for Child Care Centres.

We are so pleased you will be joining us.

All centres are required to complete a new participation form before attending in-person programs. After your form is submitted, you will receive a centre code. This form only needs to be completed once per child care centre.

If you have any questions regarding this form, please contact childrensprograms@muskoka.on.ca.

This information is collected in a safe and secure manner and is collected in accordance with s.29(2) of the Municipal Freedom of Information and Protection of Privacy Act

Child Care Centre Name:

Postal Code:

Phone Number:

Email address:

Child Care Centre Supervisor:

In case of an emergency, who should be contacted? (other than yourself)

Emergency Contact Phone Number:

Your relationship to the child:

Child Care Provider

Form Builder

Welcome to the EarlyON Participation Form for Child Care Centres.