Contact Us Form

To send a message to any staff member or program of Community Living Kawartha Lakes, please complete the following form. Questions that must be answered are marked with an asterisk (*).

When you have completed the form, click on 'Send'. A web page will then appear confirming that your message has been sent.

Click here to read our privacy statement.

1. Your name *:
   
   
   
2. Subject *:
   
   
   
3. Detail Requests - If possible, please provide details of your request here:
   
   
   
4. Getting in touch *:
   By email By phone By regular mail
   
   
5. Contact Information * - Depending on your answer to question #4 above, please provide either your email address, phone number with area code or full mailing address so that we may contact you:
   
   
   
6. Would you like to be notified when our website is updated?
   Yes No
   If you answered yes, please provide us with your email address here
   
   
   
7. We are considering making online donations available on our website. Would you use an online option to make donations (by credit card) to Community Living Kawartha Lakes if it were available on this website?
   Yes No Not sure/not applicable.
   
   

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