Submissions are limited to one per person.

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* 1. Which organization or municipality are you associated with? (Select all that apply)

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* 2. Community Connection (Select all that apply)

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* 3. Please indicate your age:

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* 4. Are you currently affiliated with any of the following user groups or sports organizations? (Select all that apply)

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* 5. How likely are you or members of your household to use the proposed facility?

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* 6. Based on what you know about this proposed project, what is your level of support?

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* 7. Please provide any additional comments or feedback indicating why you do, or do not, support this project.

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* 8. Are you interested in developing or coaching a new sport or group that would utilize the Portage Regional Fieldhouse? If yes, please provide your name, contact number/email address, and indicate the sport or group you would like to develop.

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* 9. If you would like to receive updates on project milestones and developments, or if you are interested in sponsoring this project, please provide your contact information.

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* 10. If you live in the RM of Portage, please indicate your civic/street address. If you are a business owner in the RM of Portage, please indicate the business you own. This information will only be used to confirm which Councillor represents the area that you reside in. (Optional)

Thank you for your feedback and your participation in completing this survey.
Your input is greatly appreciated.

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