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EUPA Train & Play
Date: January 27, 2024
Ages: 10-17 years
Location: Commonwealth Community Recreation Centre - South Field
Time: 3:45pm to 5:45
pm
Cost: FREE
If you have any questions, please email our Youth Program Director at youthdirector@eupa.ca.
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Name of Participant
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Date of Birth
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Address, City & Postal Code
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a. Parent/Guardians Name
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a. Parent/Guardian's Phone Number
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a. Parent/Guardian's Email
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b. Parent/Guardian's Name
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b. Parent/Guardian's Phone Number
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b. Parent/Guardian's Email
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Is your child/player bringing any medication (antibiotics, ventilator, etc.) with him or her? If yes, please explain when & how it is to be administered.
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Does your child/player have any physical, emotional, mental or behavioral concerns or limitations that we should be aware of? If yes, please explain.
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