Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailTown/area of residency? *Please indicate which area you are from so we can best direct your message to a member of our team in your region.How Can We Help You? *Please select an optionI am looking for assistance with funding (Jumpstart, Kidsport, Sunshine Fund, etc) for activities for my childI am looking for equipment or supplies for my childI am looking for support or more information about ROC's full programI would like to refer a familyI would like more information about donatingI would like to volunteerOther (please specify below)Comment or Message *EmailSubmit ROC EastmanBox 5282Steinbach MBR5G 1L5204.371.2887www.roceastman.cainfo@roceastman.ca
