Child Development Resource Connection Peel

Frosty and Friends Event Registration. Ages (12-18)

Parent's Name
Child's Name
Child's Date of Birth
Are you connected through Kids Pathways Peel or PIRS?
Are you receiving supports from (select all that apply)
(Please note: registration does not guarantee attendance of all family members)

Disclaimer - Child Development Resource Connection Peel respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy.

The personal information provided in this form will be used for the explicit purpose of registration for the appropriate information session.