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Pearson Road StrongStart Waitlist Form
 Thank you for your interest in the StrongStart program.  Upon completing this form you will be placed on a wait list to attend a 5 week session at this StrongStart centre.  When there is a space available in a session, your StrongStart Facilitator will email you to give you the start date, the day of week you will attend and other information.
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This is a StrongStart Waitlist Form is for Pearson Road StrongStart.  If you have completed a StrongStart Waitlist Form to attend at one or more other StrongStart Centres, please list these below.
First and last name of caregiver attending. Please note the same person must attend with the child(ren) each week for the 5-week period. *
Email address *
Phone number
Your child/ children's FIRST and LAST name(s) *
Your child/ children's AGES(s) *
Please indicate days of the week that you would be able to attend. *
Required
Have you already attended StrongStart? Please note, if it is your first time attending StrongStart, you will be required to complete an online enrollment application. (see below) *
StrongStart Online Enrollment (only required if you have not attended a StrongStart Centre before).  Please click on the link below and please select SS from the bottom of the list when asked for a grade:
For further information or inquiries, please contact the StrongStart Facilitator directly at debbie.dachwitz@sd23.bc.ca
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