Registration for Parenting Programs

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    Dear Participant, please ensure that all the questions are answered.

    Please note once you register your name will be placed on a wait list and you will be contacted via email or phone once a spot becomes available. Classes run three times a year in Winter, Spring and Fall.
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    Participant 1
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    Male
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    Female
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    First Name
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    Last Name
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    Cultural Identity
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    Language Spoken at Home
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    Participant 2
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    Male
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    Female
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    First Name
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    Last Name
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    Cultural Identity
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    Language Spoken at Home
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    **please ensure that each person attending the program is registered: if both partners will come to the program then both must be registered on this form.
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    Marital Status
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    Address
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    City
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    Postal Code
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    Phone
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    Cell
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    Email
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    How would you like to be contacted?
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    *you will also receive a reminder email/call one week prior to the start date of the program
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    Name of class that you are registering for:
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    Child minding is available:
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    Do you want child minding:
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    How many children?
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    Name of Child 1
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    Male
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    Female
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    Age
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    Name of Child 2
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    Male
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    Female
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    Age
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    Name of Child 3
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    Male
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    Female
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    Age
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    **please ensure that you send a snack with your children at every class
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    How did you hear about this program?
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    Why are you taking this program?
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    Please note that these are either 7 or 8 week programs and participation in all weeks is expected.
    There is no fee for these parenting programs. We look forward to seeing you soon.
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