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General PCSS Registration Form

  1. WELCOME - Potty Training 101 Registration Form

    Please enter your information in the fields below to register for the POTTY TRAINING 101 session being offered on Wednesday, October 20th from 10:00 - 11:00am. All information you provide is kept confidential.

  2. I will be attending session(s) as a*

    Please select those that apply

  3. PT
  4. For example 6 months, and 8 yrs

  5. Will someone be joining you for this session?*
  6. For example husband, wife or parenting partner

  7. Please be specific

  8. How did you learn about this program or session?*
  9. E.g. Synergy, FCSS, Chestermere/Strathmore FRN Hub, Healthy Families, etc.
  10. Connecting to our ONLINE session(s)

    You will receive an email 24 - 48 hours before the session that will include a link as well as instructions about how to join online using the Microsoft Teams application.

  11. 9
  12. 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.
  13. Leave This Blank:

  14. This field is not part of the form submission.