Parent Information Session Registration

Which Parent Session are you registering for?*
Parent/Caregiver Name*
First Last
2nd Parent/Caregiver Name
First Last
Child Name #1
Birth Date
Child Name #2
Birth Date
Child Name #3
Birth Date
Child Name #2
Birth Date
Contact Information
Address*
Street Address Address Line 2 City Province Postal Code
Phone Number
Cell Phone
Email*
Number of adults attending program*
Number of children attending program
For evening sessions, please specify number of adults and children attending supper.
Comments
Name
This field is for validation purposes and should be left unchanged.

Contact Information