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Contact

For information about how to apply to become a Block Parent® in your area, please complete this form and click on the SEND FORM button at the bottom of the page. 

Click here for more information about the duties of a Block Parent®.

 

**Name:
**e-mail:
**Telephone:

(including area code)
**City/Town:
**Province/Territory:















**Comments:
     


 




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