Registration request for Introducing Solid Foods for Infants

Thank you for your interest in this event/program. Please complete and submit the form below.

Timeslot:

Tuesday 29th Nov 2022, 10:30am - 11:30am

Location:

FHT Office

Capacity:

Although this event is fully booked we are taking extra registrations.

Name:

Date of Birth:

Parent/Guardian:

OHIP #:

Email:

Confirm email:

Phone Number:

Address Line 1:

Address Line 2:

Town/City:

Province:

Postal Code:

Physician:

Message:

1. All your information is treated confidentially.

2. If you are registering on behalf of someone else (e.g. dependent, child), please enter the date of birth and health card of that person.