Municipality of Chatham-Kent


A.L.L. for Kids Activity Request Form

Please note that this form should be submitted at least one month prior to activity registration date. Late requests may not be able to be accommodated. Funds are limited and requesting assistance or previous approval through A.L.L. for Kids does not guarantee that you will receive assistance. Please allow 2-3 weeks to process application.

* Indicates a mandatory field

First and last names of all adults living in the household *
Address *
City *
Postal Code *
Contact Phone Number
Email
Have you been with ALL For Kids previously?
Are you in receipt of; (click Yes/No for each option) * Ontario Works
ODSP
Childcare Subsidy
ALERT! If you answered NO to all of the above questions, you will be required to submit your Canada Child Benefit Statement or your Notice of Assessment (for every adult in the home) within 30 working days of submitting this request form.
If you fail to submit either of these forms, your request will not be processed.
 (File must be .pdf .doc or .docx )
How many children under age 18 reside with you? *


Child name: *
Child birthdate: *
Activity of Interest: *
Organization: *
Start Date (Month): *

Add Second Activity


Add additional children(2)


Add additional children (3)


Add additional children (4)


Catpcha



Having issues? Contact us by e-mail, or call us at 519-351-1228 x2171 (regular business hours are Monday to Friday, 8:30 AM to 4:30 PM)