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2. 
4. First Name*

   Only one contact is needed if more than one person is attending per farm and /or as a group. Please remember to fill out the number of people in the field below.

5. Last Name*
7. Contact phone number*
8. Email address*
10. Number of people in your group. If just you, enter the number one.*
12. Municipality*
    -- Select One --County of WetaskiwinLeduc CountyOther
14. If you selected 'other', please provide the name of your municipality.
16. Do you have any dietary restrictions or food allergies?
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 workshop registration administration. 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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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit Submit and Print

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