Tr’ondëk Hwëch’in Registration for Family Programming
Please take a moment to complete this form if you would like to be notified about upcoming programming through the Family Wellness Department.

The purpose of this registration is to better understand what types of programming are most needed in our community and also to create a contact list to ensure everyone who wants to participate is notified of upcoming events and programs. Any information provided will be kept confidential by the Family Wellness Department and will be used only for the above-mentioned purposes.

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Name *
Email *
Phone number *
Other family members included in this registration (please include anyone in your family who is not completing this form on their own who might be interested in programming) :
I would like to be notified about the following programming:
OPTIONAL: The following types of programming interest me most:
I give permission for the Family Wellness Program Coordinator to contact me using the information I have provided to keep me informed on Family Programming opportunities. *
Required
I prefer to be contacted via: *
Required
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