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Registration request for Cooking on a budget


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


Timeslot:
Tuesday 4th Oct 2022, 5:00pm - 7:00pm
Location:
FHT Office
Availability:
Just 2 spaces remaining



Name:
Date of Birth:
Parent/Guardian:
OHIP #:
Email:
Confirm email:
 
Phone Number:
 
Address Line 1:
Address Line 2:
Town/City:
Province:
Postal Code:
Physician:
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.