Family Place's Registration

We're delighted you'd like to join one or more of our Family Place programs! Please share your interest by completing this form. 

For more information about our offerings, feel free to give us a call (902-436-1348) or explore our website at www.familyplacepei.com.

Please keep in mind that submitting this form helps us know you're interested. You'll receive a follow-up email to confirm if you're registered or on a waitlist. If an email doesn't arrive within a day or two, just send a quick message to familyplace(at)eastlink.ca.


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Email *
Parents/ Guardians Name *
Please include parents/ guardians full name. Example, Mary MacDonald
Children's Names, Age & DOB OR Due Date if you are pregnant. Example, Jack 2 years old *
First name followed by Age
Parents/ Guardians Phone Number(s) *
List contact information for both parents/ guardians here. For example, Chris 436-1234 (h), 888-1234 (w), 954-1234 (C)
Parents/ Guardians Mailing Address. For example, 123 Long Road, Kensington, PE, C0B 1M0 *
Program Interested in  *
Program Interested in (if you are interested in more than one program)
If you selected 'Parenting Program' above please specify which parenting program you are interested in (if applicable).
If you selected 'Reggio Kids! Early Years Centre' above please specify which program you are interested in (if applicable). Also, you must register on the PEI Childcare Registry: https://peichildcareregistry.com/.
If you selected 'New Beginnings Prenatal Classes' above please complete the following:  1) What is your due date, 2) Is this your first pregnancy, 3) Is this your first baby, 4) Where do you plan to give birth - PCH, QEH, or Home with midwife, 5) How did you hear about this program?
Additional Information or Comments. 
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