Little Inquiry Form
Section 1: Parent/Guardian Information
S1.1. Parent/Guardian Name:*
S1.2. Parent/Guardian Email:*
S1.3. Parent/Caregiver's Phone Number:*
S1.4. City:*
S1.5. Postal Code (must be an M postal code):*
If you do not live in an area with a postal code that starts with M, please email and we can direct you to the correct agency. 
Section 2: Child/Youth's Information
S2.1. Child/Youth's First Name:*
S2.2. Child/Youth's Last Name:*
S2.3. Date of birth (optional)
S2.4. Child/Youth's Age:*
(must be between 7 and 15 years old) 
S2.5. Inquiry Program of Interest*
S2.6. Additional Comments
S2.7. Client Inquiry Completed*
Please slide the bar below to unlock the form before submitting 
S2.8. Client Inquiry Date Completed*
IMPORTANT NOTE: If you are not directed to a 'thank you for submission' page, there is missing information on the form. Please go back through the form and look for a note in red that says "This field is required. Please enter a value."