2018 Parent Child MotherGoose FALL session

(Please note that due to limited spaces, families who are 1st time attending a mothergoose program will be prioritized).


BPGC Parent Child Mothergoose FALLSession 2018
Oct 26-Dec 21,2018 (No session Nov 9)
FRIDAY 1:15:2:15pm

Burnaby Pacific Grace Church
3883 Triumph Street
Burnaby BC V5C 1Y6

BpgcMothergoose@gmail.com
(604)298-8277

Is it your first time attending a mothergoose session? *
Parent's Name *
Your answer
Relationship to Child *
Your answer
Child (1)'s Name *
Your answer
Child (1)'s date of birth (YYYY/MM/DD) *
Your answer
Child (2) Name
Your answer
Child (2) date of birth (YYYY/MM/DD)
Your answer
Home Phone Number *
Your answer
Email Address *
Your answer
When is a good time to call you? *
Your answer
Street Address, with Postal Code *
Your answer
Language spoken at home *
Your answer
Do you or your child(ren) have any allergies (food, plants,etc)
Your answer
How do you hear about the Parent child mothergoose program? *
Your answer
Other programs that you attend with your children?
Your answer
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