Grant Application – Parents

grant application - parents

Child's Name

First Name

Last Name

Child's Address

Child's Birthdate

Mother's/guardian's Name

First Name

Last Name

Mother's/guardian's address

Mother's/guardian's Phone

Mother's/guardian's Email

Father's/guardian's Name

First Name

Last Name

Father's/guardian's address

Father's/guardian's Phone

Father's/guardian's Email

Reason you are applying for the grant:

Have you explored all government support avenues, i.e. CLTS?

Yes

We can help you with this if you have not.

Do we have your permission to speak to the daycare you are currently using or hoping to use?

Yes

All grants are subject to Board approval.

You will be contacted in approximately 30 days.

If you are human, leave this field blank.