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Peer Power Participant Intake Form

Peer Power participant intake form

Participant Name(Required)
Address(Required)

Details

Please tell us if you would like to have a Peer Mentor. If so, please answer the following questions to help us find the most suitable match for you

Please check ALL items you may be interested in doing with a Peer Mentor(Required)
Which hours do you prefer to receive a visit?(Required)

Thank you for completing this intake form and for your interest in the Peer Power Program.

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
Phone: 403-343-6400
Fax: 403-343-6407
Toll Free: 1-866-414-3722
Email us: fsca(at)fsca.ca

Park Plaza Intergenerational Centre

5214 - 47 Avenue, Red Deer
Visit by appointment only Phone: 403-967-0171

FSCA Play Space

Hours of Operation:
Monday & Thursday
9:30am – 12:00pm & various program times. 

Parkland Mall:  4747 - 67th Street, Red Deer
Phone: 403-309-5653
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