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5. Parent Club Peer Support Group - November 23 (1-6 years) Kids Have Stress Too!
   Learn new techniques, hear from experts, and build a community with our Parent Club Peer Support Group! Each session, a different age-specific topic will be addressed, covering everything from temper tantrums to bullying to technology! Topics will be based on what parents are looking to learn! Please complete the following form to register for the November 23 Session.
7. Session Details
   Date: November 23, 2020
   Time: 3:00-4:00 p.m.
   Location: Zoom (invite sent via email upon registration)
9. PLEASE NOTE: the information in this session is ideal for families with children ages 1-6, but all caregivers are welcome to attend.
11. Caregiver's First Name*
12. Caregiver's Last Name*
14. Child(ren)'s First Name(s)*
15. Child(ren)'s Age*
17. Email Address*
18. Phone Number*
20. 1. Is there anything specific you would like to learn about children's mental health?
22. 2. Do you need support accessing Zoom?

    1. Yes
    2. No
24. 4. Would you like to learn more about additional parent education and support services? *

    1. Yes
    2. No

    Your contact information will be used by the Caregiver Education Coordinator to contact you or share information with you
26. 5. Where do you live?*

    1. Hinton
    2. Edson
    3. Yellowhead County
    4. Other
28. 6. Additional Comments
    (please add any additional feedback here)
30. To participate in this online session, you must agree to protect privacy and confidentiality for yourself and other participants. *

    1. I AGREE I will not share my invitation or password with others
    2. I AGREE I will strive to view this session in a private area
    3. I AGREE I will not record, take screenshots of, or share this session
32. Thank You!
    Thank you for registering for the November 23rd Parent Club Peer Support Group on Kids Have Stress Too! Zoom invites will be sent to the email you provided.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field