Flying Squirrel
Friday December 5th | Flying Squirrel (1250 St. James Street)
Please fill out this form and click submit.
Basic Information
Name
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Email
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This address will receive a confirmation email
Phone
*
Address
*
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Grade
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Medical issues we need to be aware of
*
Manitoba Health Number:
*
Emergency contact name and number
*
What to Bring
Grippy Socks (or you'll have to buy them there)
Please select one option.
Parent / Guardian Information
Parent Name
*
By Signing my Name below, I give permission for my child to be part of this event and will not hold Whyte Ridge Baptist Church liable in case of injury or death.
I hereby acknowledge that I have read the above disclaimer and send my child to this event.
*
Please select all that apply.
I accept
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Description
Friday December 5th
Flying Squirrel (1250 St. James Street)
Please fill out this form and click submit.
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