Circle of Security: Parenting Course

If you are interested in taking Circle of Security as a parent, please fill out and submit the below application form. We will keep your information on file and contact you next time we are offering the course. *Please note you must be a resident of the Central Okanagan

Click here form more information on the Circle of Security Parenting Program

Application Form for Parents

note: if you are wanting to take this course as a child care provider, please see our training/workshop page for Circle of Security for Providers.

Contact Information
Name*
First Last
Phone*
Email*
Your Experience as a Parent
This section will ask you some questions about your day to day relationship with your child(ren).
1. How many Children do you have?*
First Name or Initial Age
Consent*
I agree to the terms & conditions of the privacy policy.
Childhood Connections respects your privacy. We never sell, trade or loan your information to any other organization. Information provided in this application is being collected solely for the purpose of Circle of Security parenting program. The information will only be disclosed to Childhood Connections staff and program facilitators to carry out the responsibilities of their job. Statistics are reported at the regional and provincial level; however, individuals are not personally identified in any way. By completing and submitting this application form you agree to have all collected information stored in our database system.
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Our Family Support Outreach will be in contact for an intake interview.

First Name or Initial	Age

Circle of Security: Parenting Course

Application Form for Parents

Contact Information

Your Experience as a Parent