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You may also contact us at:

Phone:
519-882-1470 ext. 5007 or 1-800-565-3890 ext. 5007

Lambton County Connects Registration Form

Your Information
First Name * Required
Last Name * Required
Phone * Required
Email
Address Line 1 * Required
Address Line 2
City * Required
Province * Required
Postal Code
Country * Required
Your Preferences
Do you need assistance calling into the programs? * Required
- Yes, I need assistance
- No, I am able to call in myself
We will send you our program guide quarterly with updated program calendars. How would you like to receive this? * Required
- By email
- By mail
Your Emergency Contact
Your emergency contact will be contacted if you do not call in/attend a program that you previously registered for!
Name * Required
Relationship
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“We believe in compassionate care, service excellence, dignity and choice and accountability. We want the best care possible while being good stewards of public money. As people caring for people, our services are provided by the community in the community for the community.”

Jane Joris
General Manager

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Register Now

You may also contact us at:

Lambton County Connects Registration Form

Your Information

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Your Emergency Contact

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