RCC CMS - Parenting & Caregiver Programs

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Crisis Support Walkin Counselling Clinic

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I'm a Child /
Youth
I'm a /
Caregiver
I'm a Community /
Partner

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I'm a Child /
Youth
I'm a /
Caregiver
I'm a Community /
Partner
About Us
Ways To Help
Back to /
HDGH Site

Walkin Counselling Clinic

Parenting & Caregiver Programs

As a parent, you want to do what’s best for your child, but sometimes bringing up kids is a struggle. Fortunately, parenting and caregiver programs can help.
RCC Groups (list and prompt parent /caregiver to call 519-257-5437 (KIDS))
Community Groups (link to Registrations page)

Parent/Caregiver First Name:

Parent/Caregiver Last Name:

Is anyone attending with you? If yes, please fill out the next section:

Is anyone attending with you? If yes, please fill out the next sectionYes
No

(2nd) Parent/Caregiver First Name:

(2nd) Parent/Caregiver Last Name:

Address:

Unit/Apt.:

*City: *

*Province: *

*Postal Code: *

*Email: * *

*Phone:Phone PrefixPhone Line NumberPhone Extension * * * *

ext.

ext.:

Work Phone:

Cell Phone:

Number of Children:

Age(s) for each:

Do you have access to your children?:

Do you have access to your children?Yes
No

What are your primary concerns regarding your child's behaviour?:

What are your primary concerns regarding your child's behaviour?No concerns
Worries a lot
Impulsive
Emotional outbursts
Disorganized
Disobedience
Aggressive
Argumentative

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Crisis Support Walkin Counselling Clinic

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We acknowledge that we are on Land that has been inhabited by Indigenous Peoples from the beginning. We specifically recognize the original territory of the Council of Three Fires Confederacy, the three Anishnaabik Nations - Anishnaabe, Odawa and Potawatomi.