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KM For Public Healthcare Community Intake Form
If you are interested in getting more involved, please read our list of demands and then fill out the questions below.
Demands link:
https://km4publichealthcare.ca/demands/
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Associated School/Community/Organization
*
Your answer
Are you able to lead a work, school, or community run/walk/bike/etc. group in support of the km4 Public Healthcare campaign?
Your answer
How else would you like to help? (all ideas welcome)
Your answer
Additional Feedback
Your answer
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