If you would like more information and/or would like support completing this form, please contact hopelc@cmhahkpr.ca or CMHA Reception at 705-748-6711 or 705-328-2704

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* 1. First Name

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* 2. Last Name

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* 3. Birth Date

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* 4. Pronouns

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* 5. Phone Number

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* 6. Email Address

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* 7. Address

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* 8. I consent to receiving reminders for the sessions by the following

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* 9. Please select which course(s) you would like to register for
(please refer to course calendar on HOPE website for course descriptions and times)

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* 10. From the dates listed in the group selection above, please indicate the dates and location in which you will attend your registered groups

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* 11. Other information

Thank you for your interest in the HOPE Learning Centre, and we look forward to connecting with you.

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