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Clean Air Day Event and Activity Registration Form
Join us on June 8th, 2022 for the 17th Annual Clean Air Day in Manitoba!
Event Location: St. John's Park (1 Fowler St.), Winnipeg, MB
Time: 9:00am - 3:00pm
Who are you registering?
Who are you registering?
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1.
School
2.
Class
3.
Family
4.
Individual (ages 4-18)
5.
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Name (School, Division, Family or Person)
Name (School, Division, Family or Person)
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Contact Person (First and Last Name)
Contact Person (First and Last Name)
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Email:
Email:
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please note - we will be contacting all registrants via email
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Phone:
Phone:
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Town or City
Town or City
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Total Number of People Participating (ages 4-18)
Total Number of People Participating (ages 4-18)
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Total Number of Supervising Adults
Total Number of Supervising Adults
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Activities I am interested in (select all that apply)
Activities I am interested in (select all that apply)
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Educational Videos
Crafts
Outdoor Activities
Outdoor Games
Indoor Games or Board Games
Scavenger Hunt
Obstacle Course or Physical Activity
Science Experiment
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Will you be attending the in person Clean Air Day event at St. John's Park on June 8th, 2022
Will you be attending the in person Clean Air Day event at St. John's Park on June 8th, 2022
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No
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Please select time slots in which you are able or would prefer to attend the Clean Air Day event? ***You're welcome to stay as long as you'd like, this just helps us prepare our stations and volunteers for when to expect you.
Please select time slots in which you are able or would prefer to attend the Clean Air Day event? ***You're welcome to stay as long as you'd like, this just helps us prepare our stations and volunteers for when to expect you.
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Time
9:00am-11:00am
9:30am - 11:30am
10:00am-12:00am
10:30am - 12:30pm
11:00am - 1:00pm
11:30pm-1:30pm
12:30pm-2:30pm
A different option or timeline which you would prefer.
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By registering, I accept and assume all risks and hazards incidental to my registered children or students’ participation in the activity or equipment use, and agree to hold harmless the Green Action Centre, their directors, employees, or agents from and against any and all losses, claims, expenses, suits, costs, demands, damages or liabilities, joint or several, of whatever kind of nature arising out of or relating to the activity.
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