Support for Safe Access Zone
We need your help! Please join us in calling for a Safe Access Zone around Freeport Health Centre, Grand River Hospital.
Name (please write 'Anonymous' if you do not want your name to be shared) *
Your answer
Please share why you support a Safe Access Zone around Freeport Health Centre, Grand River Hospital. *
Your answer
I would like to be added to SHORE Centre's e-newsletter list. Here is my email address:
Your answer
I give permission to SHORE Centre to use this content to advocate for a Safe Access Zone around Freeport. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of SHORE Centre. Report Abuse - Terms of Service - Additional Terms