SCR Summer Tour Registration Form - Preeceville
Dates: August 16th, 2021
Time: 1 pm - 3 pm
Location: Community Legion Hall
Contact us: scrsummertour@parklandvalley.ca or (306) 786-6585

Note: Information is only required for one child. Please fill out every question per child if you are registering more than one child with this form. If you are registering more than four children, please fill out another form.
First Child's Name *
Second Child's Name
Third Child's Name
Fourth Child's Name
First Child's Date of Birth *
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Second Child's Date of Birth
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Third Child's Date of Birth
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Fourth Child's Date of Birth
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Voluntary Self-Declaration
First Child
Second Child
Third Child
Fourth Child
First Nation
Métis
Inuit
Newcomer
Prefer to Self-Describe (All Children)
Medical Information - Does your child/children have any medical concerns (ie. physical/congnitive disabilities, allergies, asthma, diabetes, medication, anxiety, etc.)? If yes, please list child's name and describe below. If no, please state. *
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