Program Registration

We are excited that you have decided to join us at Whitecrow Village!  If you have already been notified of your secure username and password, please proceed to STEP TWO (below).

STEP ONE

To assist us in reserving a place for you or your group in your chosen Whitecrow Village session or program, please complete the brief questionnaire below.  We will do our best to accommodate your specific requests; however, due to a growing number of interested applicants and often limited spaces in our unique programs, we cannot guarantee available space in your preferred session(s) at this time. 

Once we have reviewed your request, we will respond via email with:

1. A confirmation of dates and sessions with available space for you or your group
2. A secure username and password for you to proceed to our online registration system. 

**Please Note:  (Without exception) Whitecrow Village program participants and volunteers younger than 19 years of age must be accompanied by an adult caregiver or legal guardian.

* Indicates a required field

First Name*

Surname*

Email*

Phone*

Program & Session Dates Requested*

PLEASE ADD ME TO THE WAIT LIST
I AM INTERESTED IN VOLUNTEERING

Jun 6-Jun 7, 2008  COMMUNITY TRAINING: B (Lake Cowichan, BC) Full
Jun 14-Jun 20, 2008  L.I.F.E. SESSION (Lake Cowichan, BC) Full
Aug 12-Aug 13, 2008  FASD TRAINING: A1 (New Westminster, BC) Full
Aug 26-Aug 27, 2008  FASD TRAINING: A2 (New Westminster, BC) Full
Sep 2-Sep 5, 2008  COMMUNITY TRAINING (Atlin, BC) Full
Sep 10-Sep 11, 2008  COMMUNITY TRAINING: A (Campbell River, BC) Full
Sep 16-Sep 17, 2008  FASD TRAINING: B1 (New Westminster, BC) Full
Sep 24-Sep 25, 2008  COMMUNITY TRAINING: B (Campbell River, BC) Full
Sep 29-Oct 5, 2008  L.I.F.E. SESSION (Lake Cowichan, BC) Full
Oct 14-Oct 15, 2008  FASD TRAINING: B2 (New Westminster, BC) Full

Number of People Attending*

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Number of Adults (19+ years)*

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Number of Children*

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Have you or anyone in your group previously attended a Whitecrow Village session? If so, what program, when, and where?*

Please provide a brief description of yourself/ your group (i.e. family, professionals, children's ages, etc.) *

Is there anything else you would like us to know at this time?

Please type in the code you see on the left*

STEP TWO

If you have already been notified of your username and password, please continue to our online registration system below: