Registration For Child Minding - June 21st

Please complete this survey if you require temporary child minding during the event "Licensed Home Child Care Information Night & Community Conversation: Finding Solutions Together" on June 21st 5:30pm - 7pm.

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* 1. What is your name?

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* 2. How many children are you bringing to the event that require “child minding” from staff? (0-12 years old)

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* 3. What are the ages of each of your children:

Child 1:

Child 2:

Child 3:

Child 4:

Child 5:

Child 6:

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* 4. Do your children require special accommodations (specialized care worker)?

Yes

If yes, please provide details:

Disclaimer:

All information gathered will be treated as Personal Information pursuant to the County's Records Management Policy and the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56. If you have any questions regarding the collection of this information please contact Legal Services at: clerk@county-lambton.on.ca.