Parent Information

NOTE: All fields marked with a red * MUST be completed before you can submit. Give as much detail as you can.

Parent or Legal Guardian - Full Name: *

Child's First Name: *

Child'd Last Name: *

Date of Birth for Child - Please complete (dd/mm/yyyy): *

Phone: *

Email: *

 

The cost of this program is $450 for parent group only, or $560 for parent and child group.

Our Program Coordinator will be in contact by email to confirm registration and payment.

 

If you have questions or concerns about Calm Kids, Happy Families, contact Jaime Gaber by email.

 

All information is shared and stored in accordance with the Personal Information Protection Act (PIPA). More information about our privacy policies and practices can be accessed by contacting CanLearn Society at 403-686-9300.