2. REGISTRATION FORM

4. 
6. KINDERGARTEN READINESS: PARENT INFORMATION SESSION

   Welcome! Please provide your information in the fields below to register for our Kindergarten Readiness Parent Information Session, hosted in partnership with the I'm for Kids Team. 

   BEFORE COMPLETING THIS FORM PLEASE READ: This session is designed for parents/caregivers with a child who will be entering kindergarten this September (2022). Schools require that children must be at least 5 years old as of December 31 of the year they will be starting kindergarten.

   Date & Time: Wednesday, May 25th from 6:30 - 8:00 pm.

   Location: Online through WebEx. 

   Please note that any and all personal information you provide in this form is kept strictly confidential.

   Learn more about Parent & Caregiver Support Services (PCSS) and the wide array of free, universal parent education programs, workshops, information, and resources available to Chestermere parents! Click on the website link: http://www.chestermere.ca/pcss

10. First Name*
11. Last Name*
13. Phone Number*
14. Email Address*
16. City or Town of Residence*
17. Postal Code*
19. How many children do you have in your care?*
20. What are the ages of your child/children?*

    For example 6 months, and 8 yrs

24. I will be attending this parent session(s) as a*

    Please select those that apply

    1. Parent
    2. Caregiver
    3. Step Parent

    1. Foster Parent
    2. Grandparent
    3. Professional
25. Will someone be joining you for this session?*

    1. Yes, someone else will be attending with me
    2. No, I will be attending alone
27. If yes, what is their relationship to you?

    For example husband, wife or parenting partner

28. Are there any specific or questions that you would like us to discuss during the session?

    Please be specific

32. How did you hear about this session?*

    1. The PCSS Facebook Page
    2. The PCSS Webpage
    3. The local Family Resource Network (FRN) newsletter
    4. A local service provider or agency

    1. The City of Chestermere's Events Calendar
    2. A friend or family member
    3. Other

    This information helps us better advertise and promote our programming

    
    

34. If you selected 'OTHER' from the options above, please let us know where you first heard about this program

    This information helps us better advertise and promote our programming

38. Free Kindergarten Readiness Resource Kit: Pick Up Information

    Every family will receive a free resource kit. We request that participants come to City Hall (front reception) to pick up your resource package between Monday, May 16th and Wednesday, May 25th. 

    Hours of Operation: Monday - Friday (8:30am - 4:30pm). We are closed on all statutory holidays. 

    City Hall Address: 105 Marina Drive, Chestermere, AB T1X 1V7

40. RESOURCE KIT PICK-UP*

    1. Yes, I will pick up my kit between Monday, May 16th and Wednesday, May 25th at City Hall

    If for any reason you are unable to pick up your resource kit, please send an email to pcssinfo@chestermere.ca or call us at (403) 207-7050 to discuss alternate arrangements. 

    Please note that this session is for families in Chestermere and surrounding area. 

42. Please note that we don't send confirmation emails after you have submitted this registration form.

    We will get in touch through email approximately 24 - 48 hours before the session is scheduled to begin, which will include the link as well as instructions to join our session online using the WebEx application. 

    
    

    If you do not see an email, please check your Junk Mail.

46. 
48. 
50. Freedom of Information & Privacy (FOIP)
    Your personal information is being collected for activities related to the Parent & Caregiver Support Services (PCSS) program, workshop, seminar, and/or group activity 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 City Hall, 105 Marina Road, Chestermere, AB T1X 1V7 or call (403) 207-7050.
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52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field