CONQUER your Anxiety and Worries for Tweens Intake Form

CONQUER your Anxiety and Worries for Tweens Questionnaire

  • Welcome! We are so excited to have you join us in this Summer Camp session of “Conquer Your Anxiety and Worries”. Miss Alicia has the pleasure to lead this program and she can’t wait to help you discover your own power and begin to conquer your anxiety and worries! Please take a moment to answer the pre interview questions for us. These questions and the answers that you share will not only help us get to know you a little better but will also help Miss Alicia put together a program that will be beneficial for everyone. If you should have any questions please feel free to email Miss Alicia at We can’t wait to meet you IN PERSON in August!
  • First NameLast Name 
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  • Phone NumberEmail Address 

Contact Details

Main Office:

Family Services of Central Alberta

5409 - 50th Avenue

Red Deer, Alberta

T4N 4B7

Office Hours

Main Office:
8:30am – 4:30pm

Extended hours on Monday/Tuesday:
5:15pm – 8:00pm

Toll Free: 1-866-414-3722

Email us: fsca(at)

Park Plaza Intergenerational Centre

5214 - 47 Avenue, Red Deer

Visit by appointment only Phone: 403-967-0171

Parkland Mall Kinsmen Family Play Space

Hours of Operation:
Monday - Friday
9:30am – 3:00pm

Parkland Mall:  4747 - 67th Street, Red Deer