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All About Me

In order to provide the best support possible, it is important for us to understand the participant’s abilities and needs. Relevant personal information will be shared with the inclusion team, only to the extent of ensuring a successful and safe experience.

Personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c25 (as amended) and will be used for administrative purposes associated with facilitating Town programs/services and to notify contacts in case of emergency. Questions about this collection should be directed to the Manager, Recreation, Town of Milton, 150 Mary Street, Milton, Ontario. L9T 6Z5, (905) 878-7252 x2581.

Name of participant

Name of person completing this form

Contact information of person completing this form

Please indicate your relationship with the participant: