ErinoakKids - SmartStart Hub Registration Form

July 15, 2024. Please note, Special Services at Home (SSAH) payments have been delayed due to a technical problem with the issuing bank. They will be processed as soon as possible once the issue has been corrected, we apologize for any inconvenience.

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Child First Name

Child Last Name

Date of Birth

Parent/Guardian Name

Parent/Guardian Contact Number

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Unit Number

Street Number

Street Name

City

Province

Postal Code

Are interpreter services required?

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This form is being submitted with the knowledge and consent of named parents/legal guardians. ErinoakKids will always treat your personal details with the utmost care and will not share or sell your personal information. You may unsubscribe from receiving communications from ErinoakKids at any time. We are committed to keeping your information safe and confidential. We follow the rules set out in law about collecting, using and disclosing your personal information. For more information, please review our privacy policies publicly posted at https://www.erinoakkids.ca/privacy.