Spousal Home Child Care Start-Up Support Program

Licensed Participants Registration Form

Full Name

Phone Number

E-mail

CFOne #

10 digit number that starts with 100 (proof of military affiliation)

Location

Type of child care you plan to / currently operate

Full-time Occasional Part-time 󠄀 Non-traditional or Extended hours (evening, night, weekend) Before-After School 󠄀 Emergency

Number of spots for children in your home-based child care

Start or expected start date of operation

DD/MM/YYYY

Yes, I am accredited or in the process of being accredited by a home-based child care agency

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

Personal information is collected by the Canadian Forces Morale and Welfare Services (CFMWS), under the authority of the National Defence Act.
Personal information will be used to administer your participation in the Home-Based Child Care Starter Kit program, and may be shared with your local MFRC Child Care Navigator. Your application is voluntary, however if you choose not to provide your personal information, you will not be able to participate in the program. Personal information may also be used for program evaluation, reporting, and communications purposes, with the data being anonymized and aggregated whenever possible.

Personal information is protected, and is only used and disclosed by CFMWS in accordance with the Privacy Act. Under the Act, individuals have rights of access to, and correction of their personal information, and the right to file a complaint to the Privacy Commissioner of Canada regarding the institution’s handling of personal information.
If you require clarification about this statement, contact the CFMWS privacy coordinator at ATIP.AIPRP@cfmws.com. For more information on the Privacy Act, consult the Office of the Privacy Commissioner of Canada. By checking this checkbox, you consent to the use of your personal information, as described above, for the Home-Based Child Care Starter Kit program. You may unsubscribe at any time by contacting the Child Care Primary Office: CCPO-BPSG@cfmws.com.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.

Spousal Home Child Care Start-Up Support Program

Licensed Participants Registration Form

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