FOMA - Families of Members Away (December)

FOMA - Families of Members Away
Are you about to experience a deployment or work related absence in the near future? Then come out for supper & meet other individuals that are experiencing a deployment! The evening will be facilitated by counsellor Kelsey Rocque & deployment coordinator Nicole Taborowski.
*Dress code: cozy and comfy.
*Dinner & refreshments will be served so bring your appetite.
*Don't forget to register to be entered to win a door prize!
*FREE childcare vouchers available upon request.

Thursday, December 12
5:30-6:30 p.m.
Open to individuals who are about to & who are currently experiencing a deployment
No cost to participants
Meet at the MFRC
Register by Thursday, December 5

Question Title

1. Are you:

Regular Force / family

Reservist / family

Veteran / family

Other - please specify:
1. Public Service Employee
2. CFMWS (PSP, NPF) Employee
3. Family within an 8km radius of Shilo

Question Title

2. Are experiencing a deployment (currently or will be in the near future)?

Yes

Question Title

3. Participant's Information

Name:

Cell phone number:

Alternate phone number:

Email Address:

Question Title

4. Do you have any allergies or food restrictions/preferences?

Yes

If you have answered yes, please give details

Question Title

5. Do you require a childcare voucher?

Yes

Question Title

6. Acknowledgment:

I acknowledge that, in case of an emergency, the staff of the Shilo MFRC will secure medical advice and services as deemed necessary for the health and safety of anyone participating in Shilo MFRC programs. The Shilo MFRC does not assume financial responsibility for any cost associated with seeking medical advice.

Question Title

7. How did you hear about this program? Please indicate your main source

MFRC Newsletter

MFRC social media (FB & IG)

Base wide poster

Base TVs

MFRC Website (www.cfmws.ca)

MFRC Deployment Email (MFRC Spills the Tea)

From a friend

Other (please specify)

Question Title

8. FOR OFFICE USE ONLY - DO NOT COMPLETE

Date:

Amount Paid:

Receipt #:

Staff Name: