Registration request for Simple Snacking

Thank you for your interest in this event/program. Please complete and submit the form below.

Timeslot:

Tuesday 6th Dec 2022, 5:00pm - 7:00pm

Location:

FHT Office

Availability:

14 spaces remaining

Nom:

Date of Birth:

Parent/Guardian:

OHIP #:

Courrier électronique:

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Numéro de téléphone:

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Message:

1. All your information is treated confidentially.

2. If you are registering on behalf of someone else (e.g. dependent, child), please enter the date of birth and health card of that person.