West Coast Centre for Learning - Seasonal Program Expression of Interest

Seasonal Programs Expression of Interest Form

Thank you for your interest in our Programs—we’re so glad you found us!

Registration for our upcoming sessions has not yet opened; however, we would be happy to note your interest and keep you informed as soon as enrolment becomes available. To help us best support you, please provide the following information:

Choose your interest (Select all that apply): *

PEERS for Preschoolers (Ages 4-6) PEERS for Teens (Ages 12-18) PEERS for Young Adults (Ages 18-30) Secret Agent Society (Ages 8-12) THRIVE ADHD + Me (Ages 9-12)

Parent/Guardian

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Connect

You will receive a confirmation by email.

Relationship

First name *

Last name *

Email *

Mobile *

Participant/member/student

First name *

Last name *

Gender *

Date of birth *

Grade *

What is your preferred method of communication? *

Phone Text Email Zoom

Which intake season would you like to attend? *

Please note: full programs are not offered during the summer season.

Fall 2026 Winter 2027 Spring 2027

Which format would you prefer? *

In-Person Online Either

If attending in person, which location would you prefer to attend?

S. Surrey - 3211 152 Street, Bldg. C, Suite 402 N. Surrey - 9850 King George Blvd, 3rd Floor Vancouver - 660C Leg in Boot Square Victoria - 3450 Uptown Blvd, Suite 301

To help us finalize the schedule, please select two days that would work best for your family. *

Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays (THRIVE & SAS only) Sunday (PEERS for Young Adults only)

Which time would best suite your family's schedule? *

Please note: These times are not applicable to THRIVE ADHD + Me.

4:00 - 5:30 PM 4:30 - 6:00 PM 6:30 - 8:00 PM 7:00 - 8:30 PM (Sundays only)

How did you hear about West Coast Centre for Learning? *

Internet Search ACT Community Training Referred by a friend or Professional Social Media Other

If by a friend or professional, please list their name below. If by other, please specify.

Would you like to receive our newsletter with helpful parenting tips, program information, and special offers. (You can unsubscribe at any time) *

Yes please! No thanks

Will you be accessing funding to pay for the program? *

Yes, Autism Funding Yes, School Funding No, Private Billing

Please list any questions, comments or concerns that you may have.

Thank you for choosing the West Coast Centre for Learning. We look forward to connecting with you. A member of our team will be in touch once the schedule has been finalized.

If you require assistance sooner, please don't hesitate to contact us at info@wccl.ca or (778) 839-5515

By submitting this form, you consent to West Coast Centre for Learning collecting and using your information to respond to your inquiry. For details on how your data is stored and protected, please review our Privacy Policy.