Family Place Drop In - Registration Form
What is your family's last name? *
What is your phone number? *
How many children in your family will be in attendance? *
Which days would you like to attend [check all the days you would like to attend]? [Note: Family Place will be open Monday-Friday from 9am-12pm.] *
Required
Do you have any specific needs or supports during programming (example: language)?
Do you have any learning activities or other suggestions for staff?
Would you like to receive email updates about Kiwassa's Family Place or other parent education programs?
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If yes, please provide your email:
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