COVID-19 Care Giver Registration - York Region

    Care Givers are a vital part of the Restore team operating in York Region. Working together, we will make access easier for those in need, while supporting at-risk clients to remain at home and ensure their basic needs are met.
    • First Name
      Last Name
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    • Please provide the name and contact information for two references. At least one reference should be your pastor or an employer/supervisor.
    • check all that apply
    • Next Steps
      Once you have submitted this form, you will be directed back to our website for the next steps.