Event Registration - CARMIS Smart Forms - Fédération des francophones de Terre-Neuve et du Labrador

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Information for Participants:

First Name(Required)

Last Name(Required)

Gender(Required)

Phone(Required)

Email(Required)

Date of Birth(Required)

Primary Language

Country of Birth

Current Immigration Status in Canada

UCI# / PR Card Number (8 or 10 digits)

Special Requirements/Considerations

Allergies

Carries Epi-pen

Physical Disability

Please specify any allergies or dietary restrictions you may have

Medical Conditions/Medications