March Break 2022 Group Registration
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Our virtual drop-in March Break Program is back! Join us daily at 1:00PM - 2:00PM, between Monday, March 14 - Thursday, March 17, for fun and engaging activities offered to all Epilepsy Toronto children and siblings. Geared towards grades 2-6, but all ages are welcome. Join one session, or join them all!  Please register using this form, and email elana@epilepsytoronto.org if you have any questions.
Name of parent/caregiver:
Parent/caregiver email:
Parent/caregiver phone number:
Child #1 Name:
Child #1 Birthdate:
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Child #2 Name:
Child #2 Birthdate:
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Child #3 Name:
Child #3 Birthdate:
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Days your child/ren plans to attend:
For participant who has epilepsy: Please provide a brief description on child/youth's seizures to have on file (seizure types, typical length, frequency, triggers, etc). Include anything you feel is important for us to know, while group is in session.
What would you like us to do in case of a seizure event, while participating in virtual group?
Clear selection
Accessibility needs: Is there anything else you'd like staff to know, be aware of, or ways we can support your child/ren during the March Break group activities?
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