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2. Last Name*
3. First Name*
5. Email*
6. Phone Number*
8. Select which Date/Location you will be attending*

   1. March 18, 2026- Winfield Hall
   2. April 22, 2026 - Lond Ridge Hall
9. Are you a County of Wetaskiwin Resident?*

   1. Yes
   2. No
11. Freedom of Information and Protection of Privacy Act

    The personal information collected through this Clear Space Clear Mind Workshop for the sole purpose of registering for Clear Space Clear Mind Workshop. This collection is authorized by Section 4(c) of the Protection of Privacy Act (POPA). For questions about the collection of personal information, please contact the County of Wetaskiwin Privacy Officer: email legislativeservices@county10.ca; telephone 780.352.3321; in person at 243019A Hwy 13, or send post mail to County of Wetaskiwin No. 10, Box 6960, Wetaskiwin AB, T9A 2G5.

13. 
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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