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Triple P TEEN Registration Form

  1. Teen Triple P
  2. REGISTRATION FORM

    Please complete our registration form for the Power of Positive Parenting workshop series by filling in your information in the fields below.

    These sessions are delivered by Parent & Caregiver Support Services (PCSS), a provincially funded program offering universal, community-based parent education and support for parents and families with children ages 0 to 13. 

    WORKSHOP #1 (RAISING RESPONSIBLE TEENAGERS): Wednesday, February 9th from 6:30 - 8:00 PM

    WORKSHOP #2 (RAISING CONFIDENT, COMPETENT TEENAGERS): Wednesday, February 16th from 6:30 - 8:00 PM

    Learn more about us, our programs, and services by visiting our website: http://www.chestermere.ca/pcss 

  3. Please select which workshop(s) you would like to attend from the options below:*
  4. Workshop Package(s)*

    Each workshop includes a customized package with helpful resources and tip sheets to assist parents with the strategies and ideas that are discussed during our time together.

    Please select the box below to acknowledge that you will be picking up your resource package(s)e at City Hall (105 Marina Drive).

  5. I will be attending the workshop(s) as a:*
    Please select those that apply
  6. Will someone else be joining you for this workshop?*
  7. For example a spouse, parenting partner, friend, or another family member.
  8. Family Demographics
    The information collected in this section is used to report back to our funders. Any question with an asterisk (*) is mandatory to complete.
  9. Were you born in Canada?*
  10. If you were born in Canada are you:
  11. If you were NOT born in Canada, have you lived here for less than 3 years?
  12. Please tell us how many children or youth that you care for.
  13. Were your children or youth*
  14. If born in Canada are your children or youth
  15. If not born in Canada, have any been in Canada less than 3 years?
  16. How did you learn about this workshop?*
  17. E.g. Synergy, FCSS, Chestermere/Strathmore FRN Hub, Healthy Families, etc.
  18. You will receive an email 24 - 48 hours BEFORE each workshop that will include a link as well as instructions about how to join online using the WebEx application. If you do not see the email, please check your Junk Mail.
  19. 9
  20. Freedom of Information & Privacy (FOIP)
    The 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.
  21. Leave This Blank:

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