Register for a Program

Registration is currently closed. If you would like to be contacted once we are running programs again please complete the following:

Triple P Seminar Registration

Parent/Caregiver Name

(2nd) Parent/Caregiver Name

Street

Unit/Apt.

City

Province

Postal Code

Phone

ext.

Work Phone

ext.

Cell Phone

ext.

Number of Children

Age(s) for each

Do you have access to your children?

YesNO

What are your primary concerns regarding your child's behaviour

How did you hear about the Triple P program