The Regulated Parent Program Form | Life Dances

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The Regulated Parent Program Form

First name

Last name

Email

Please choose the response that is applicable:

Please register me in the Regulated Parent Program.

I am interested in your program and I have questions for you first.

Message to Leanna and Erin

Life Dances Counselling is located on the traditional and unceded territory of the lək̓ʷəŋən peoples and we acknowledge and respect the Songhees and Esquimalt Nations and the W̱SÁNEĆ peoples represented by the Tsartlip, Pauquachin, Tsawout, Tseycum, and Malahat Nations whose historical relationships with the land continue today.

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