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Application for a guardianship package
Student information
General information
Gender
Male
Female
Other
How did you learn about CanCust?
Not Selected
Agency
Web - Search Engines
Friend's referral
Information about the contact person
Parents' information
Mother's contact information
Father's contact information
Additional contact
Add information about an additional contact person
Information about the contact person
Yes
No
Medical Emergencies: If you can not be contacted, do you provide your consent to all emergency medical or dental treatment including general or local anaesthetic, surgery or blood transfusions which might be necessary in the opinion of the qualified doctor under Ontario Health regulations?
Yes
No
Do you consent to the administration of medications sold over the counter (cough medicine, paracetamol, eye drops) in the pharmacy?
Yes
No
By signing this application form we confirm that we read and we understood the Statement of Terms and Conditions and agree to the terms and conditions as indicated. We agree to pay the associated custodianship fees as indicated in the CanCast fee schedule.
Submit application form
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