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2024 Parent Child MotherGoose Spring session
PIRS BPGC Parent Child Mothergoose SPRING 2024
May 6 - Jun 10, 2022
FRIDAY 1:00-2:00pm
3883 Triumph Street Burnaby
BpgcMothergoose@gmail.com
(604)298-8277
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Is it your first time attending a mothergoose session?
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Parent's Full Name
*
Your answer
Relationship to Child
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Your answer
Child (1)'s Full Name
*
Your answer
Child (1)'s date of birth (YYYY/MM/DD)
*
Your answer
Child (2) Full Name
Your answer
Child (2) date of birth (YYYY/MM/DD)
Your answer
Contact Phone Number
*
Your answer
Email Address
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Your answer
When is a good time to call you?
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Your answer
Full Address, with Postal Code
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Your answer
Language spoken at home
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Your answer
Your Home Country
Your answer
Your Age Group
Under 19 years old
20 - 35 years old
36 - 50 years old
50 - 64 years old
over 65 years old
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How long have you been in Canada?
Less than 1 year
1 to 3 years
3 to 5 years
5 to 10 years
Over 10 years
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What is your current status in Canada?
Permanent Residents
Citizen
Work Permit
Refugee, protected persons
Refugee Claiment
Study Permit
Live in caregiver with work permit
Visitor
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How do you hear about the Parent child mothergoose program?
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Your answer
Other programs that you attend with your children?
Your answer
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