Pre-Screening Questionnaire & Waiver (Tourism Programming)
IMPORTANT: THIS FORM MUST BE COMPLETED NO MORE THAN 2 HOURS IN ADVANCE OF YOUR ARRIVAL AT A MEEWASIN SITE, FACILITY OR PROGRAM.
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Your Name (First and Last) *
Phone Number: *
Email: *
Emergency Contact - Name: *
Emergency Contact - Phone Number: *
Today's Date *
MM
/
DD
/
YYYY
Time of Scheduled Program/Booking: *
Time
:
Where is your program taking place? *
Required
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