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2. This program is available for County of Wetaskiwin Residents only. One kit per family. Limited quantities available.
4. Last Name*
5. First Name*
7. Rural Address (Blue Sign) or Legal Land Description*
8. Email*
10. Phone Number*
12. Please indicate your preferred "Kit" pick up location*

    1. Wetaskiwin - County of Wetaskiwin Office
    2. Winfield - Winfield Community Library
14. Additional Information

    Kits will be available for pick up at the County of Wetaskiwin Office between Tuesday, December 9 and Thursday, December 11, during regular business hours (8:30 AM - 4:30 PM).

    Kits will be available for pick at the Winfield Community Library after 10:30 AM on Tuesday, December 9 and December 10, 12 & 13 during regular Library Hours hours.

16. 
18. 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 Family Bonding Program".  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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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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