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Ahousaht Education Authority

AEA Recreation

June 4th Vancouver WhiteCaps Jamboree

YOUR CHILD'S DETAILS:

Name First & Last Name

Birthdate

Allergies

Phone

If more than 1 Child attending, please list below:

YOUR CONTACT DETAILS:

Contact First Name

Contact Last Name

Facebook Name

Contact Phone Number

Emergency Contact Info

Thanks for submitting!
If you have any questions or concerns please contact: Janine Thompson or Waylon Savey via Facebook or email: janine.thompson@ahousahted.ca or waylon.savey@ahousahted.ca

Ahousaht Education Authority

250-670-9660

Ahousat, BC V0R 1A0, Canada

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