Skip to content
Check Screen Reader Mode to make this survey compatible with screen readers.
Check Screen Reader Mode to make this survey compatible with screen readers.

CMHA Rosetown Parent Support Group Registration

This group will meet the first and third Thursday of the month, 6:30-8 p.m. (unless otherwise specified). Pre-registration must be completed with your current email address so that we can send out reminders.
1.Your name (First, Last)(Required.)
2.Email address(Required.)
3.Cell phone number(Required.)
4.Preferred Pronouns (she/her, he/him, they/them)(Required.)
5.Age(Required.)
6.Mailing address(Required.)
7.Number of children and ages(Required.)
8.What parenting concerns/topics would you like to discuss in this group (eg. sleep issues, self-harm, depression, school avoidance)?(Required.)
9.How did you learn of our Parent Support Group?(Required.)
10.How often would you like this support group to meet?(Required.)
11.Would you be interested in presentations from psychiatrists, counsellors, pharmacists, or other mental health professionals as a part of Parent Support Group?  If yes, please comment in detail who you would like to present and what topics.(Required.)
Current Progress,
0 of 11 answered