Lights at the Lake

Lights at the Lake - RSVP Form

Sunday, December 8th @ 3:30-5:00pm : Lafarge Lake, 1251-1263 Pinetree Way, Coquitlam, BC V3B 7Y3
Gather the whole family and join us for games, hot chocolate, and a walk around the lake. This event is going ahead rain or shine so dress for the weather. ASL Interpreters will be present. This event is jointly hosted with BC Hands & Voices. Registration deadline: Friday, November 29th.
Which is the main agency providing services to your family?*
This event is only open for families currently receiving services from BC Family Hearing Resource Society (BCFHRS), Children's Hearing and Speech Centre (CHSC), or Deaf Children's Society of BC (DCS). If you have more questions about this event, please email us at info@bcfamilyhearing.com.
Child's Name*

First NameLast Name
Child's date of birth (mm/dd/yyyy)*
Name(s) of Parents*

First NameLast Name
.

First NameLast Name
What is the nature of your child's support needs?*

My child is deaf/hard of hearingMy child is a CODA (Child of Deaf Adult)
Number of siblings attending*
Name(s) of siblings*

First NameLast Name
.

First NameLast Name
.

First NameLast Name
Phone number*
Which interventionist works with your family? If you don't know the name, please choose I don't know.*
What are your accessibility needs?*

American Sign Language InterpreterSpoken Language InterpreterNone
If you require a spoken language interpreter, please indicate the language required below. Leave blank if not required.
Please provide your email address below so that we can send you some pre-learning activities and further details.*
example@example.com
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Lights at the Lake - RSVP Form

Gather the whole family and join us for games, hot chocolate, and a walk around the lake. This event is going ahead rain or shine so dress for the weather. ASL Interpreters will be present. This event is jointly hosted with BC Hands & Voices. Registration deadline: Friday, November 29th.