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Babies and Tots Group - Registration Form
A group for Epilepsy Toronto’s youngest members and their grown-ups! Children ages 0-4 with epilepsy or infantile spasms, together with their parents or caregivers, are invited to a special circle time and family meet up at the Epilepsy Toronto office. Enjoy free play, songs, and stories with Eden and Elana, followed by snacks and a parent chat. Siblings are welcome. Contact elana@epilepsytoronto.org for more information.
*Please note that parents/caregivers are requested to wear masks for this program
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Name(s) of parent/caregiver
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Your answer
Name of child
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Your answer
Child's date of birth
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MM
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DD
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YYYY
Names and ages of siblings, if attending
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Your answer
Parent/caregiver's email address
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Your answer
Parent/caregiver's phone number
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Your answer
Accessibility needs: Is there anything else you'd like staff to know, be aware of, or ways we can support you and your child during the program?
Your answer
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