NEW PROGRAM FOR YOUTH IN GEORGINA

Supporting a Healthier, Smoke-Free Future

Starting January 2025
For Youth Ages 18 and Under
Subsidized Program
Parental Consent Required

At Wellness Canada, we are proud to call Georgina home and are deeply committed to the health and well-being of our community and its residents. That’s why we’re excited to announce a new subsidized program starting in January 2025, designed to help youth aged 18 years and under quit smoking or vaping.

This program offers a limited number of spots, making it easier for young people to access professional hypnosis services that support them in breaking free from smoking or vaping and embracing a healthier, brighter future.

We believe our youth are the heart of this community, and by investing in their well-being, we’re helping to build a stronger, healthier Georgina for generations to come.

If you or someone you know could benefit from this program, we encourage you to join the waitlist below. Please note that parental consent is required.

Quit Smoking/Vaping Program for Youth

Please fill out this form to join the waitlist for our Quit Smoking/Vaping program for youth aged 18 and under, starting January 2025. Thanks to partial subsidization, this program is available at a reduced cost. Parental consent is required.

Youth's Information

First name

Last name

Age

Smoking Method:

Cigarettes

Vaping

Other

Parent/Guardian Contact Information

First Name

Last Name

Relationship to Youth:

Phone

Country/Region

Address

City

Zip / Postal code

How did you hear about this program?

Do you have any specific questions or concerns?

Consent Confirmation

I confirm that I am the parent or legal guardian of the youth listed above and give permission to be contacted regarding their eligibility for this program, as space is limited.

Your information will only be used to manage waitlist registrations and communicate details about this program. We respect your privacy and will not share your information with third parties.