Children's Mental Health Ontario - Join the Cause - CMHO Individual Member Registration

* In making this application to Children's Mental Health Ontario, I acknowledge that I am committed to its mission to champion the right of every child and youth in Ontario to mental health and well-being.

Yes No

Acceptance of any organization or individual as a member of Children's Mental Health Ontario should not be taken as implying an endorsement, approval or recommendation of any such member, including in terms of the information, advice, opinion, programs, activities, and services provided by any such member.

Only members that have been accredited by Children's Mental Health Ontario, or by another body recognized by Children's Mental Health Ontario, have met prescribed standards related to their services and operations. Those members designated by Children's Mental Health Ontario as "accredited" are required to renew such designation every 4 years.

A Paypal button will appear after submitting this form, you’ll have the option to pay using your PayPal account (if you have one) or by credit card. Once you’ve completed the payment process, Please click on the "Return to CMHO Registration" button to properly complete the registration.

* Preferred Language	English French
* Preferred Contact Method	Email Regular Mail Fax
* Are you 18 years of age or older?	Yes No
* Are you a parent / guardian / caregiver?	Yes No
* Do you work with children and youth?	Yes No
If you do, please specify your place of work/employer:

* Street Number	Number Suffix	Unit / Suite / Apt

Floor	Building

* Street Name	* Street Type	Direction

* Delivery Mode	PO Box or Route Number	* Postal Code

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