Community Connect Doha Registration Form
Registration. Please note the first entry may appear in Arabic depending on your IP address and setting. It is asking for an email address.
* Required
Email address
*
Your email
First and last name
*
Your answer
Mobile number
*
Your answer
WHATSAPP phone number (if different from Qatari phone number)
Your answer
Relationship to "child"
*
Parent
Educator
Other:
Required
If you are a parent - How many Children do you have? (If you are not a parent please respond with N/A)
Your answer
Please provide ages of your children if you answered the above question. (If you are not a parent please respond with N/A)
Your answer
Name of Child's school (Please respond N/A if you are not a parent)
Your answer
I have experience with
Teaching
Health Care
Community Building
Parenting Multiples
Parenting Children with Special Needs
Sports
Multicultural Living
Other:
Special Interests
Mental Health ie. Depression, Anxiety,etc.
Learning Disabilities/Challanges
Autism Spectrum Disorders
Women's Health
Positive Family Relationships
Expat Life
Gifted Children
Child Safety
Family School Relationships
Teacher Forums
Other:
Topics you would like to see covered in a Workshop
Your answer
Age
18-24
25-34
35-44
44-54
55+
Cultural Identity (Country)
Your answer
Preferred method of contact
*
Email
Whatsapp
Required
Preferred Workshop time
WEEKDAY AM
WEEKDAY PM
SAT AM
SAT PM
Consent to "connect" privately with another community member
*
YES I give Consent
No I do NOT give Consent
Payment
*
This is a FREE event
A copy of your responses will be emailed to the address you provided.
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