Skip to Main Content
Select a Category
BOOST National Curling
Community Resource Centre Intake Form
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Family Day Kits Survey
This form has been modified since it was saved. Please review all fields before submitting.
Participant Survey: Family Day Activity Kits
Please answer the following questions honestly. Participants are entered to win one of 2 prizes.
This kit made me feel more connected to my family members/loved ones.
The resources included in the kit were useful and relevant.
I felt that the activities in the kits were useful.
My child(ren) enjoyed the activities included in the kit.
I am looking for support in the following areas:
Child & Teen Development
Mental Health & Wellbeing
Stress Management for myself
Stress Management for my Child(ren)
Parenting Support & Strategies
None of the above
Other (please indicate in text box below)
Additional comments or suggestions for support/programs
The best method for us to contact you (your phone number or email address).
Alternate Contact Method (optional)
Any additional comments?
Please use this section to share any additional thoughts or comments you had about the kits.
Thank you for completing the survey!
The personal information is being collected for activities related to applying for, creating, distributing, and tracking permits for the City of Chestermere, and as such is deemed to be an activity of the City of Chestermere. The personal information is collected under the authority of Section 33(1)(c)of the Freedom of Information and Protection of Privacy Act, and will be used only for the purpose identified. If you have any questions or concerns about the collection or use of information you may contact the FOIP coordinator at the Municipal Office, 105 Marina Road, Chestermere, AB T1X 1V7 or call 403-207-7050
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow