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Potty Training 101 Registration Form

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  2. Potty Training 101 Registration Form

    Welcome! Please enter your information in the fields below to register for the POTTY TRAINING 101 session being offered via webcast. This was recorded by Parent & Caregiver Support Services (PCSS), a provincially funded program offering universal, community-based parent education and support for parents and families with children aged 0 to 13.

    Our webcast includes a variety of information, including a readiness quiz to see if you and your child are ready to begin the journey to becoming diaper free.

  3. I will be viewing the webcast as a*

    Please select those that apply

  4. Are you over 18 years of age?*
  5. Do you self identify as:*
  6. Were you born in Canada?*
  7. If you were not born in Canada, how many years have you resided in Canada?*
  8. For example 6 months, and 8 yrs

  9. If someone will be joining you for this webcast, please fill in the section below.
  10. For example husband, wife or parenting partner. 

  11. Do they self identify as:
  12. Were they born in Canada?
  13. Are they over 18 years of age?
  14. If they were not born in Canada, how many years have they resided in Canada?
  15. How did you hear about this program or session?*
  16. E.g. FCSS, Chestermere/Strathmore FRN Hub, Healthy Families, etc.

  17. How to view the Webcast

    You will receive an email within 24 - 48 business hours that will include a link to view the pre-recorded webcast and instructions on how to receive your free gift.

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  19. 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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  21. This field is not part of the form submission.