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Contact Information – Staff
Contact Information – Staff
VD
2021-11-02T15:21:35-07:00
Contact Information - Staff - 2021/22
Merci de remplir le formulaire avant le 5 février 2022
Nom complet / Name
*
Prénom / First
Nom / Last
Date de naissance / Date of Birth
mois/jour/année - mm/dd/yyyy
Tél. domicile / Home phone
Téléphone portable / Cell phone
*
Adresse / Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Courriel personnel / Personal email address
*
Contact en cas d'urgence (Local) / Emergency Contact Name (Local)
*
Prénom / Name
Nom / Last
Lien avec vous / Relationship
Téléphone du contact d'urgence (Local) / Emergency Contact Phone (Local)
*
Contact en cas d'urgence (Hors de CB) / Emergency Contact Name (Out of BC)
Prénom / First
Nom / Last
Lien avec vous / Relationship
Téléphone du contact d'urgence (Hors de CB) / Emergency Contact Phone (Out of BC)
Inclure l'indicatif du pays / Add country code before the number
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