Please complete this form to pre-register for a Achēv account. You will receive confirmation and additional information via e-mail.
I agree
Achēv is collecting information for planning, statistical and follow-up purposes. Completion of this form is voluntary. Refusal to provide the information requested will not in any way affect the services you may receive from this centre. Achēv may share statistical information with our funders for planning and evaluation purposes. The information you provide will be stored in a secure manner. By providing us with your mobile phone number (and selecting “opt-in” to text messages), you are agreeing to receive SMS updates and alerts regarding Achēv’s programs. To opt-out and discontinue receiving text messages from Achēv (or 905 218 1606), reply STOP or ARRET from your mobile device. You will not receive any additional text messages from Achēv unless you opt-in again. There is no fee to participate in Achēv’s SMS program; however standard data rates may apply. Participating carriers include: Mobility, Fido, Mobilicity, Public Mobile, Rogers Wireless, TELUS Mobility, Virgin Mobile Canada and WIND Mobile
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