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 Adopt-a-Stream Crossing Program Application  

 
  Personal information collected in this form is collected under authority of the Municipal Act in order to process registrations for the Adopt-a-Stream Crossing program. Confirmation emails or phone calls will be returned to the individual who registered for this event. In the event of any changes or cancelations to the Adopt-a-Stream Crossing program, individuals will be contacted through the registered contact information. If you have any questions about the collection of this information, please contact Access York at 1-877-464-9675 or by mail at The Regional Municipality of York, Natural Heritage and Forestry, 17250 Yonge Street, Newmarket, Ontario, L3Y 6Z1.
   
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Street  
Town  
Postal Code  
   
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6.
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Required for notification in the event of a cancellation (including contact outside of business hours)
 
   
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(Preferred location may not be availible; this information is collected for further program development)
 
   
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9.
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(Please note, insurance is not required to participate in this program. In the event that your group does not have insurance, waiver forms will be provided for your group to sign and return.)
 
   
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First choice    
Second choice    
Third choice    
   
11.
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Depending on site availability, there may be an age limit.
 
          
Number of participants          
Number of supervising adults for Youth Groups          
   
12.
(Scout/Guide badge requirements, special needs, behaviour, health concerns, etc.)
 
   
13.
 
   
  Thank you.
   
 
 
 
 Done