Recreational Day Respite Form Logo

  • Recreational Day Respite Form

    Thank you for your interest in recreational day respite services at ErinoakKids! Registration is now open.
    • Eligibility 

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one does not meet the criteria for this service. For questions, please reach out to Respite Admin at 905-855-2690 ext. 2273. For assistance coordinating appropriate in-home or community-based care, please visit Ontario Health atHome.

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one does not meet the criteria for this service. For questions, please reach out to Respite Admin at 905-855-2690 ext. 2273. For assistance coordinating appropriate in-home or community-based care, please visit Ontario Health atHome.

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one does not meet the criteria for this service. For questions, please reach out to Respite Admin at 905-855-2690 ext. 2273. For assistance coordinating appropriate in-home or community-based care, please visit Ontario Health atHome.

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one is not eligible at this time. Please contact Respite Admin at 905-855-2690 ext. 2273 to discuss next steps with a nurse.

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one does not meet the criteria for this service. For questions, please reach out to Respite Admin at 905-855-2690 ext. 2273. For assistance coordinating appropriate in-home or community-based care, please visit Ontario Health atHome.

    • Not eligible

      Thank you for your interest in respite at ErinoakKids. Unfortunately, your child/loved one does not meet the criteria for this service. For questions, please reach out to Respite Admin at 905-855-2690 ext. 2273. For assistance coordinating appropriate in-home or community-based care, please visit Ontario Health atHome.

    • Additional Requirements 
    • Date Selection 
    • Recreational day respite services are available at the Brampton Site for Winter 2026. Weekday offerings are available from 4pm-7pm and Saturday offerings run from 9am-3pm over 6 weeks.

    • Note:

      Each option you click will move to your 'Options Selected' in order from highest preference to lowest preference. If you want to change the order, click on the option under 'Options Selected' and it will go back to 'Options Available'.

    • Child/Loved One Information 
    •  - -
    • Primary Contact (This is the only person who be contacted with service information and updates) 

    • Medical Information 
    • Consent 

    • This information is being submitted with the knowledge and consent of the parents/legal guardians. By providing the contact information with the form(s), you consent to receiving information about your service at ErinoakKids by email, SMS/Text and other electronic means.

    • If No, ErinoakKids will not process this referral.

    • ErinoakKids also shares information on new service offerings, fundraising initiatives, free events offered at ErinoakKids and surveys by email, post, SMS/text and other electronic means. ErinoakKids will always treat your personal details with the utmost care and will not share or sell your personal information. You may unsubscribe from receiving communications from ErinoakKids at any time. We are committed to keeping your information safe and confidential. We follow the rules set out in law about collecting, using and disclosing your personal information. For more information, please review our privacy policies publicly posted at https://www.erinoakkids.ca/privacy.

    • Should be Empty: