Register | Taking Strides Edmonton

For details on each program, read more here.

Parent / Guardian's First Name

Parent / Guardian's Last Name

Phone Number

Address

Your Child's First Name

Your Child's Last Name

Your Child's Date of Birth

What is your child's diagnosis?

Tell us about your child and their personality so we can match them with a good volunteer.

Tell us about what your child likes, and what their favourite things are.

If applicable, tell us what your child dislikes or if they have any triggers.

Please describe your child's preferred form of communication

What goals do you have for your child within this program?