Name: COPEing With Toddler Behaviour – Fall 2022
Start: 2022-09-17T09:30:00-04:00
End: 2022-11-12T11:30:00-05:00
Location: Ron Joyce Children’s Health Centre

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Please note: By submitting this form, you do so with the understanding this is not a secure method of communication and HHS cannot guarantee the safety and security of the information you have provided. A limited number of onsite childminding spots and transportation assistance (bus tickets or parking vouchers) may be available for this workshop.

Caregiver Information

Caregiver First Name*

Caregiver Last Name*

Caregiver Phone

Email*

Home Address

Caregiver City

Caregiver Postal Code

By sharing your email, you will receive communications related to this course/workshop.

Child Information

Child First Name*

Child Last Name*

Child Date of Birth*

I have attended a McMaster Children's Hospital or Ron Joyce Children's Health Centre course before.

I need childminding for this child in order to attend this workshop.

*Due to limited space in our childminding program, if your child is placed on the wait-list for childminding we will inform you via email as quickly as possible.

I need transportation assistance to attend this workshop.

Bus Tickets

Parking Pass

We will confirm the status of your transportation assistance request as quickly as possible.

Add Another Child?*

Additional Child 1 First Name

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Additional Child 1 Date of Birth

Additional Child 2 Date of Birth

Additional Child 2 Last Name

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Additional Child 3 Last Name

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Additional Child 3 First Name

Additional Child 4 Date of Birth

Additional Child 4 Last Name

Additional Child 4 First Name

Add another Caregiver?*

Additional Caregiver 1 First Name

Additional Caregiver 1 Last Name

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Additional Caregiver 2 Email

Additional Caregiver 2 Last Name

Additional Caregiver 2 First Name

Additional Caregiver 3 Email

Additional Caregiver 3 Last Name

Additional Caregiver 3 First Name

How did you learn about this course?

I have attended a McMaster Children's Hospital or Ron Joyce Children's Health Centre course before.

Professional referral (for example: family doctor, public health nurse, school referral)

Community centre (for example: daycare, recreation centre, EarlyYears ON, public library)

Marketing at McMaster Children’s Hospital or Ron Joyce Children’s Health Centre (for example: digital screens, flyers, posters)

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Online (for example: social media, Google, website)

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COPEing With Toddler Behaviour – Fall 2022

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