Book Now- Free Adult Groups – CanLearn Society

Book Now - Free Adult Group

NOTE: All fields marked with a red * MUST be completed before you can submit your registration.

First Name: *

Last Name * :

Preferred Name:

Date of Birth - Please complete (dd/mm/yyyy): *

Gender:

Gender Pronouns:

Gender Pronouns - Other:

Mailing Address:

City:

Province: Postal Code:

Phone: (Leave us your phone number so we can follow-up with you)

Email:

I am interested in attending the: Free Adult ADHD Group:

CanLearn may transfer personal information to outside service providers that perform services on our behalf such as client relations management systems, or similar services. These service providers are located and store data in Canada. By providing personally identifiable information to us, you agree to the transfer of your personal information to a server located in Canada. More information about our privacy policies and practices can be accessed by contacting Laura Godfrey at 403-686-9300 ext. 126 or by clicking here.