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2. Last Name
3. First Name*
5. Email*
6. Phone Number
8. I'm interested in attending the following dates:

   1. Thursday, January 16, 2025
   2. Thursday, February 20, 2025
   3. Thursday, March 20, 2025
   4. Thursday, April 17, 2025
10. 
12. Freedom of Information and Protection of Privacy Act

    Section 33(c) of the FOIP Act authorizes the County of Wetaskiwin No. 10 to collect this personal information for the purpose of the "Lakedell Wellness Mini Retreats".  If you wish to inquire about the collection, use, and disclosure of personal information, or if you have questions about correcting your personal information, please contact the FOIP Coordinator: foip@county10.ca; phone 780-352-3321 (ext. 2270); or, toll free at 1-800-661-4125.

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14. 1. Receive an email copy of this form.
15. Email address

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16. Submit

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