RockHaven Children's Services Inc.

Full Name:

Email Address:

Phone Number:

Address:

Please indicate your interest(s) with RockHaven:

Foster Family

Relief Home

If you are interested
in a CYC position,
please fax or email
your resume

Volunteer Driver

Other

I would like RockHaven to mail me information to the address I have provided:

I would like RockHaven to contact me before sending me information:

Comments:

RockHaven Children's Services Inc.

If you are interested in becoming a member of the RockHaven
team, please complete this form and we will contact you at our
earliest conveniences.

308 Front Street North, Box #190
Campbellford, Ontario
K0L 1L0

Phone #: 705-632-0255 Fax #: 705-632-0259

By Email: Office       - office@rockhavencs.com
      Tara         - taraflagler@rockhavencs.com
      George    - georgeflagler@rockhavencs.com
      Pam         - pamelareid@rockhavencs.com
      Cheryl      - cmclaughlin@rockhavencs.com