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CUPE 5021 Family Picnic Registration
Please fill out and submit this form before September 13th
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1
Email
example@example.com
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2
Name
First Name
Last Name
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3
Number of Adults Attending
Member plus Spouse/Partner
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4
Number of Children Attending
Household Dependants
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5
Ages of Children Attending
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6
Would you like to volunteer for this event?
Yes
No
Maybe Next Time
Yes
No
Maybe Next Time
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7
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8
Do you have any dietary restrictions?
Vegetarian, Vegan, Gluten Free, Dairy Free, Nut Allergy
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