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SCR Summer Tour Registration Form - Pelly
Dates: August 18th, 2021
Time: 1:00pm - 3:00pm
Location: Pelly Library
Contact us:
scrsummertour@parklandvalley.ca
or (306) 786-6585
Note: Information is only required for one child. Please fill out every question per child if you are registering more than one child with this form. If you are registering more than four children, please fill out another form.
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* Indicates required question
Email
*
Your email
First Child's Name
*
Your answer
Second Child's Name
Your answer
Third Child's Name
Your answer
Fourth Child's Name
Your answer
First Child's Date of Birth
*
MM
/
DD
/
YYYY
Second Child's Date of Birth
MM
/
DD
/
YYYY
Third Child's Date of Birth
MM
/
DD
/
YYYY
Fourth Child's Date of Birth
MM
/
DD
/
YYYY
Voluntary Self-Declaration
First Child
Second Child
Third Child
Fourth Child
First Nation
Métis
Inuit
Newcomer
First Child
Second Child
Third Child
Fourth Child
First Nation
Métis
Inuit
Newcomer
Prefer to Self-Describe (All Children)
Your answer
Medical Information - Does your child/children have any medical concerns (ie. physical/congnitive disabilities, allergies, asthma, diabetes, medication, anxiety, etc.)? If yes, please list child's name and describe below. If no, please state.
*
Your answer
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