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Childcan families, join us at Reptilia!
Friday, July 12, 2024
1:00 pm - 2:30 pm
Reptilia
Westmount Shopping Centre
785 Wonderland Rd S,
London, ON, N6K 2Y5
https://maps.app.goo.gl/JuBChZzK7FCZGXo99
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Join us at Reptilia for a fun-filled FREE afternoon for Childcan families.
Please note that you MUST be registered to attend. Numbers are limited. Please register before June 27, 2024.
Name of parent or guardian
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Your answer
Name of Childcan Kid (Oncology child)
*
Your answer
Phone number
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Your answer
Street address
Your answer
City
Your answer
Number of people attending (ages 13+)
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Your answer
Please list the names of all those aged 13+ below:
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Number of children, aged 0-12, attending
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Your answer
Please list child(ren)'s names below:
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Your answer
Registration is open to Childcan children and their families. If you need to cancel or change your registration, please email
info@childcan.com
so another family can attend.
I agree that at all times during the event, my safety remains my sole responsibility. I am aware of the risks of participating in the event and assume all such risks. I give full permission for the use of my name and photography by all parties in connection with the event. By submitting this entry, I acknowledge having read, understood and agreed to the above for myself and/or as the parent/guardian of a participant under the age of 18.
*
I acknowledge I must notify Childcan at
info@childcan.com
of changes/cancellations
I acknowledge I have read and agree to the terms and conditions
Required
We can't wait to see you there!
A copy of your responses will be emailed to the address you provided.
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