Chances Family Centre PEI
Pay Parent Fees
Early Years Center
Drop In Play
Before & After School Programs
CHANCES Family Centre Prenatal Series
Support Person's Name:
Address Line 2
ZIP / Postal Code
Personal Phone Number:
Which phone number is the best to reach you at?
Personal Phone Number
Alternative Phone Number
Can we leave a message?
We usually email our participants but if you would rather a phone call, please check this option
Health Care Number
Health Care Provider
With this baby, is this your first pregnancy?
Are you interested in having our early pregnancy topics emailed to you?
Is this your first time attending a CHANCES program?
What CHANCES programs have you previously attended?
Are you new to Canada? Do you need help with translation to English?
Do you have any dietary restrictions? We serve snacks and light meals at many of our programs
Please list your dietary restrictions.
Please list any concerns or questions that you have
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