Families of Members Away (FOMA) – Bridges to Belonging

Families of Members Away (FOMA) – Bridges to Belonging
This monthly themed evening program is for adults with a loved one deployed or away for work. Enjoy a relaxed evening of conversation, snacks, and connection with others who understand the challenges of time apart. Attend five sessions and receive a free gift as a thank you.
Childcare is available for school aged children in the ROOTS Youth Centre Drop In.

Wednesday, February 18
6:00-7:00 p.m.
Open to individuals experiencing an absence
No cost to participants
Meet at the MFRC Counselling Centre
Register by Monday, February 16

Question Title

1. Are you:

Regular Force / family

Reservist / family

Veteran / family

Other - please specify:
1. Public Service Employee
2. CFMWS (PSP, NPF) Employee
3. Family within an 8km radius of Shilo

Question Title

2. Are experiencing an absence (i.e. Deployment, course, field ex. IR, etc)?

Yes

Question Title

3. Participant's Information

Name:

Cell phone number:

Alternate phone number:

Email Address:

Question Title

4. Do you have any allergies or food restrictions/preferences?

Yes

If you have answered yes, please give details

Question Title

5. Acknowledgment:

I acknowledge that, in case of an emergency, the staff of the Shilo MFRC will secure medical advice and services as deemed necessary for the health and safety of anyone participating in Shilo MFRC programs. The Shilo MFRC does not assume financial responsibility for any cost associated with seeking medical advice.

Question Title

6. How did you hear about this program? Please indicate your main source

Shilo MFRC monthly E-Newsletter

SMFRC Spills the Tea (MFRC monthly email)

MFRC social media (FB & IG)

Poster

Base Community Guide (Base TVs)

MFRC Website (www.cfmws.ca)

From a friend

Other (please specify)

Question Title

7. FOR OFFICE USE ONLY - DO NOT COMPLETE

Date:

Amount Paid:

Receipt #:

Staff Name: