Registration Form

School/group name:

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* 1. School/group name:

School/group mailing address:

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* 2. School/group mailing address:

City/town:

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* 3. City/town:

Postal code:

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* 4. Postal code:

Province: Nova Scotia
Primary contact person for Winter Walk Day with your school/group

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* 6. Primary contact person for Winter Walk Day with your school/group

Primary contact person title:

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* 7. Primary contact person title:

Primary contact person email:

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* 8. Primary contact person email:

School/group phone number:

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* 9. School/group phone number:

Winter Walk Day date

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* 10. Winter Walk Day date

Number of students or children/youth expected to participate:

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* 11. Number of students or children/youth expected to participate:

Brief description of the event

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* 12. Brief description of the event

Grade levels:

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* 13. Grade levels:

Thank you for registering for Winter Walk Day 2018!
A registration confirmation message to help you promote the event in your community will be emailed to you within a week.

Be sure to click "Done" when you're finished entering your information. Thanks!

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