Clone of Youth Conversational Toolkit Registration Form

Parent Get-Together Coffee Chat
DATE: November 14, 2026

TIME: 3:00–4:30pm

ADDRESS: Family Connection Centre

#120 1835 Gordon Drive

Kelowna, BC

*Inside Capri Centre Mall
An English-ASL Interpreter will be provided. Please check the box below if you would also like Closed Captions:
Parent/Guardian Information
Parent/Guardian #1

First NameLast Name
Parent/Guardian #2

First NameLast Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child/Youth Minding Services are available

Add a row for each child you will bring
Youth NAME
Youth Age
Please write down anything you'd like us to know about your child/ren (behaviors, health concerns, etc).
Questions? Contact us at: PADYS@Pahdeafyouth.org

See you there!
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Parent Get-Together Coffee Chat