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* 1. What Gender Identity best defines you:

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* 2. What is the best way to contact you if you were to win a prize? (ex. Phone number, Facebook, email). (actual contact information for winnings will be asked during activity)

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* 3. What age group will you be participating in?

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* 4. Have you heard of Six Nations Health Planning before?

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* 5. Would you like to receive Health Planning Newsletters for other possible upcoming events? If so, please provide an email below:

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