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Parent First Name
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Parent Last Name
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Email Address
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Address
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Town
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Province
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ZIP/Postal Code
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Phone Number
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Secondary Number
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Emergency Contact Person
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Relationship of Emergency Contact
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Emergency Contact Phone
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From time to time AWC uses photos and videos of participants for publicity in brochures, newspapers and websites. Please indicate below if you give consent for the use of yours and your child's photo or video.
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