Maplewood Farm RSVP Form

Maplewood Farm Trip - RSVP Form

Saturday, May 30th @ 10:00am-12:00pm : 405 Seymour River Place, North Vancouver, BC V7H 1S6
Gather the whole family and head on out to the farm! This event is going ahead rain or shine so dress for the weather. **Please note an error on the flyer - a hayride is not included in this event.** ASL-English Interpreters will be present for this event. Cost is $6.50 per child, $10.95 per adult and $6.50 per senior. Bring along your lunch and some snacks. This event is for families currently receiving services from BC Family Hearing Resource Society (BCFHRS), Children's Hearing and Speech Centre (CHSC), and Communication Stars childcare.
Which is the main agency providing services to your family?*
This event is currently only open for families currently receiving services from the BC Family Hearing Resource Society (BCFHRS), Children's Hearing and Speech Centre (CHSC), and Communication Stars childcare. 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
Please select which statement best matches with your child.*

My child is deaf/hard of hearingMy child is a CODA (Child of Deaf Adult)My child attends Communication Stars childcare
Phone number*
Which interventionist works with your family? If you don't know the name, please choose I don't know.*
If you require a spoken language interpreter, please indicate the language required below. Leave blank if not required.
Families can pay individually at the entrance. To receive the discount, mention that you’re with BC Family Hearing Resource Society at the time of payment.
Number of children attending ($6.50 admission):*
Number of adults planning to accompany ($10.95 admission for adults and $6.50 admission for seniors):*
Please provide your email address below so that we can send you some pre-learning activities:*
example@example.com
Should be Empty:

Maplewood Farm Trip - RSVP Form