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Code Mobile Registration Form
Code Mobile will be at Sackville Heights Community Centre on Saturday, March 30th from 10am -11:30am.
45 Connolly Road, Middle Sackville
FREE EVENT. Space is limited. Pre-registration is REQUIRED.
Children may be left on site with the Code Mobile Team and staff of SHCC for the duration of the event. Children should be picked up promptly at 11:30am from the assigned room.

Email address *
Child's Name *
Your answer
Child's Grade *
Allergies or Health Concerns:
Your answer
Second Child's Name:
Your answer
Second Child's Grade:
Allergies or Health Concerns:
Your answer
Parent's Name: *
Your answer
Phone Number: *
Your answer
Other Emergency Name: *
Your answer
Emergency Phone Number: *
Your answer
Parent's Email: *
Your answer
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