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H.O.P. Youth's Little Warriors
If you have any questions please contact
Larissa @ 306 930 7141
Email:
info@hopyouth.ca
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* Indicates required question
Childs Name (First)
*
Your answer
Childs Name (Last)
*
Your answer
Street Address
*
Your answer
Phone Number:
Your answer
Alternate phone number
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
*
Choose
6
7
8
9
10
Gender
Female
Male
Clear selection
Health Card Number
Your answer
Does your child have any allergies? If so what are they?
Your answer
Is your child considered one of the following
*
Indigenous
Meti
Neither
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