Membership Form 1 - Personal Information
Your personal information will be kept confidential and stay within our Centre and not be shared.  CONFIDENTIALITY IS VERY IMPORTANT TO US!
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Consent for Personal Information
As part of efforts to examine and better understand family support, early learning, health & wellness and information and referral programs at our Centre, we would like to ask for your consent to collect personal information related to you, your partner or other primary caregivers, and your children.  

The information you provide when visiting the centre or taking part in centre programming will be used to:
Help determine if there are programs and services in the community that may benefit you, your children and your family;
Gather information for research on community programming needs and outcomes; and
implement, administer, deliver and evaluate the Early Years Family Resource Centre site.

The Early Years Family Resource Centre will protect your privacy by:
Storing all information in locked cabinets and/or secured computer files; and not using names or any other information that identifies individual parents / caregivers, children or families in any published descriptions of the research or results.

I consent to my / my child’s information being collected by Early Years Family Resource Centre staff, on behalf of our accountable partner, to examine and better understand family support, early learning, health & wellness and information and referral programming available at our Centre.

I consent to my/ my child’s information being included in non-identifying, aggregated data disclosed to and used by the Saskatchewan Ministry of Education for the purpose of evaluating provincial Family Resource Centre Programs.
I understand that this information will not be disclosed to third parties for any purpose by the Early Years Family Resource Centre, our accountable partner, our staffing partner, or the Saskatchewan Ministry of Education unless in accordance with The Freedom of Information and Protection of Privacy Act.  

I understand that I may revoke my consent at any time without there being consequences to the services I receive.                        

Consent to Personal information *
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