reg. no. 89137-4001-RR001
Tara "Boom" Houston Children's Foundation
P.O. Box 20171, St. Thomas, ON N5P 4H4

Taraboom_WHITE250

Let's start the process...

This is your initial contact with Taraboom and upon acceptance of the information shared here, a more detailed and final application will be required for any financial assistance we can supply. This initial contact form is to completed by the family in need as our contact will be with them directly. Our family coordinator, as assigned to your by the Board, will contact you to help with completion of the full and final application.

IT IS IMPORTANT THAT YOU SHARE ALL INFO WITH US IN THIS INITIAL CONTACT
* ALL FIELDS ARE REQUIRED AS THIS INITIAL CONTACT IS WHAT DETERMINES A FAMILY’S ELIGABILITY.

 

Initial Contact Form

All fields are required so if you don't have all 3 selection of numbers, please just 123 in the field with no known number.