July 2022 Wellness Wednesdays Registration Form
Explore a world of wellness topics every Wednesday this July & August through Peer 2 Peer's Wellness Wednesday summer program! Check out our array of workshops, activities, and field trips for youth, aimed at increasing their health-related knowledge and giving them tools to care for their well-being and the well-being of their community. Open to all youth ages 12 and up.

Register today to save your spot! Registration must be completed at least 48 hours in advance of the scheduled activity in order to participate. There are limited spots for each activity and so registration will be confirmed on a first come, first served basis.

PLEASE HAVE YOUR PARENT/GUARDIAN WITH YOU TO COMPLETE THIS FORM.

If you have any questions, please contact us at summerpeer2peer@cnh.bc.ca or call us at (778) 320-7337.
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Are you: *
Full Name of Program Participant/Youth: *
Pronouns (e.g. they/them, she/her, he/him, etc.)
Age of Program Participant/Youth: *
Address: *
Email: *
Participant Cellphone Number:
If the program participant has a cell phone number they would like to provide so that we can send reminders and/or reach them at, please share it below.
Do you have any dietary restrictions or allergies? *
If 'Yes', please write out your dietary restrictions or allergies below. If 'No', please write 'N/A' or 'None.'
Do you have medical and/or access needs we need to be aware of?
If 'Yes', please write out your medical and/or access needs below. If 'No', please write 'N/A' or 'None.' Access needs are anything you might need in order to fully participate in our programming. Examples include wheelchair accessible spaces and washrooms, scent-free spaces, stretching breaks, larger fonts on PowerPoint presentations, etc.
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