Hooray! We’re excited to have you join Creating Connection in the Community Group!Let’s get you registered! Caregiver or Parent Name * First Name Last Name If you are bringing children with you, please state their name/s and age/s * Where did you hear from about this program? School Clinic Family Centre Other Do you have reliable transportation to the centre? ONLY THE FIRST 5 FAMILIES THAT ARE IN NEED OF TRANSPORTATION WILL BE CONTACTED Yes No Not sure Email * Phone * (###) ### #### Is there anything else you'd like to share with us? Any special notes, allergies to particular ingredients, your child's favourite sensory play activity, etc. Thank you! Please let us know ahead of time if you are going to miss a session.