SPARK (0-12 months)
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Parent or Guardian's profile
*
1) First Name
*
2) Last Name
3) Middle Name
*
4) Email Address
*
5) Phone Number
*
6) Address (Mailing)
*
7) City
Brackendale
Britannia Beach
D'arcy
Furry Creek
Garibaldi Highlands
Mount Currie
Pemberton
Squamish
Whistler
*
8) Postal Code
*
9) Gender
Female
Male
*
10) Parent or guardian's Date of Birth
*
11) Primary Language
English
Other
*
12) Are you of indigenous descent?
Yes
No
Child's profile
*
13) First Name
*
14) Last Name
15) Middle Name
*
16) Child's Date of Birth
If you have any questions, please email
ruby.bhangoo@sscs.ca
.
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