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Circle of Security Parenting (COSP)- Registration Form

  1. COSP

    INSTRUCTIONS: Please provide your information in the fields below to register for our Circle of Security Parenting (COSP) program. Please ensure that you include a response for all fields with an asterisk (*).

    WHEN: This 4-week session runs on Tuesday and Thursday evenings from 6:30 - 8:30pm) from May 31st to June 23rd

    WHERE: Online through Webex

    PLEASE NOTE: This free, online program is for parents or caregivers of children from 0 to 6 years of age. 

    Participants will be asked to commit to all 4-weeks (8 sessions) to ensure a meaningful learning experience.

  4. We will be sending an email with the instructions to join virtually through WebEx as well as different resources throughout our time together.

  5. Program Workbook - Language Options*

    Workbooks for programs are available in the following languages. Please select one from the options below:

    WHY DO WE ASK FOR THIS INFORMATION? The demographic information collected in this section is used for reporting purposes only as required by our funder. Any question with an asterisk (*) is mandatory to complete, but those without can be skipped.
  7. Were you born in Canada?*
  8. If you were born in Canada, are you:
  9. If you were NOT born in Canada, have you lived here for less than 3 years?
  10. Please tell us how many children that you care for.
  11. Were your children:*
  12. If born in Canada are your children or youth
  13. If not born in Canada, have any been here less than 3 years?
  14. How did you learn about this workshop?*
  15. E.g. Synergy, FCSS, Trellis, Healthy Families
  16. Thank you for taking the time to complete this form. We look forward to connecting with you!
  17. 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.
  18. PPSG logos
  19. Leave This Blank:

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