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.

Be sure what you are applying for is what you and your child want. Requesting changes to your application are difficult to process and sometimes unable to be accommodated.

* Indicates a mandatory field

First and last names of all adults living in the household *
Address *
City *
Postal Code *
Contact Phone Number
Email
Preferred Method of Communication
Have you been with ALL For Kids previously?
Are you in receipt of; (click Yes/No for each option) * Ontario Works
    Upload File 1 
    Upload File 2 
ODSP
    Upload File 1 
    Upload File 2 
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).
    Upload File 1 
    Upload File 2 
How many children under age 18 reside with you? *

Only requests listed on this form can be processed – changes or additions will require a new form.

Child name: *
Child birthdate: *
Activity of Interest: *
Organization: *
Start Date (Month): *
Cost: *
(total amount of dollars you are requesting for this activity - If you are unsure of the information
please check with the activity provider to confirm information before submitting your form)

Add Second Activity – only allowed if first activity request is 3 months or less


Add additional children (2)


Add additional children (3)


Add additional children (4)




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)