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Things Dads Do Club Application
Please fill out the form below to pre-register for our parenting support programs and services.
Once we receive your application we will contact you to confirm your enrolment and program requirements.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date Of Birth
*
MM
/
DD
/
YYYY
Phone Number ( for example 4168325639)
*
Your answer
Email
*
Your answer
Do You Live In Toronto?
*
Yes
No
Required
Street Address ( for example 1901 Weston Rd)
Your answer
Unit/Apartment Number (if applicable)
Your answer
Postal Code (M3M1X1)
Your answer
Number of people in household?
*
Your answer
Number of children (birth-3) in household?
*
Your answer
Number of youth (4-10) in household?
*
Your answer
Number of youth (11-18) in household?
*
Your answer
How do you identify? (please select one)
*
Black
African-Canadian
Continental African
African, Caribbean, Black
African American
Other:
Required
Are you currently employed?
*
Yes
No
Required
What is your current housing situation?
Rent
Own
Living With Family
No Fixed Adress
Other:
Clear selection
How did you hear about our organization / programs?
Your answer
Which of the following programs and supports would you like to learn more?
*
**select all that apply
Things Dads Do Club
Parenting Programs
Advocacy Support
1 on 1 Mentoring
General Inquiry
*Service Worker Support
*Client Support Consultation
Other:
Required
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