BCFH Bouncy Babies Group Registration Form

This is the registration form for Bouncy Babies, a group for d/Deaf and hard of hearing children aged 0-18 months and their parents.

Bouncy Babies gives parents a support group as they move into early intervention services with their infant. Parents connect with one another and learn through topic-based discussions. Guests are sometimes brought in to lead a topic or share their experiences with us. It is also a chance to have fun with your baby! We enjoy songs, rhymes, and books together, modeling communication skills and strategies that you can take home.

The group is led by staff members Rina Dulku (Early Interventionist), Eileen Edinger (Sign Language Consultant and Deaf and Hard of Hearing Role Model), and Jen Gow (Family Support Parent).

Bouncy Babies will be offered on the following dates (Tuesdays) from 10:00am – 11:30am:

January 7th and 21st, 2025
February 4th and 18th, 2025
March 4th, 2025

The group takes place in-person at our Surrey office, with a modified online option available for those who cannot join us in-person.

Spoken English and American Sign Language (ASL) are used in this group, and ASL interpretation services will be provided. Spoken language interpreters are available on request.

Do you have a child who is deaf and or hard of hearing who is 0-18 months old?*

YesNo

You are ineligible to register at this time. Bouncy Babies is solely for families whose D/HH children are under 18 months old. If you have any questions, please discuss this with your Early Interventionist.

Do you receive early intervention services from BC Family Hearing Resource Society?*

YesNo

Bouncy Babies is only open to clients of BCFHRS at this time. If you have any questions, please discuss this with your Early Intervention Service Provider.

Child's Name:*

First NameLast Name

Child's Date of Birth:*

Date

Name(s) of Parent(s) attending Bouncy Babies group:*

First NameLast Name

City/Area of Residence:*

E-mail Address:*

Phone Number*

Area CodePhone Number

The group takes place in-person at our Surrey office, with a modified online option available for those who cannot join us in-person. Please select how you will be attending:*

I will attend in-person at the Surrey CentreI will attend online via Zoom

Spoken English and American Sign Language (ASL) are used in this group, and ASL interpretation services will be provided. Spoken language interpreters are available on request.

Do you require a Spoken Language Interpreter to take part in this group?*

YesNo

What language do you need an interpreter for?*

Is there any other information about you or your child that you would like us to know?

Are there any topics and questions in particular that you would like covered by this group?

Do you or your child have any allergies we should be aware of?*

YesNo

What allergies do you or your child have?*

Bouncy Babies Group Registration Form

Registration Information