Workshop Registration Form
First Name
Last Name
Email
Workshop(s)
Emotion Coaching - November 30th, 2023 (6:00 - 8:00 pm)
How Many Adults Will Be Participating in This Workshop?
1
2
More than 2
Age range
18-24
26-34
35-64
65+
Phone
Postal Code
Please check if the following applies to you:
Indigenous
Single Parent
Low Income Family
Non Indigenous Person of Color/Racialized Individual
What is your mobility status:
Non-migrants
Internal Migrants (from within Canada)
External Migrants (from outside of Canada)
Gender Identity (optional). I identify as:
Female
Male
Other
Do you have any concerns about your family functioning (i.e. new baby, job loss, parents back to work, etc.)? How has your family been impacted by COVID-19? What challenges is your family facing, if any?
How do you feel City West could provide you the support you might need in regards to parenting/child development/family functioning/etc. What are you hoping to gain from this workshop?
Do you have any concerns about your child's health or development?
Comments:
Register