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2. Last Name:*
3. First Name:*
5. Email Address:*
6. Phone Number*
8. Eligibility Requirement
   Together Time Kits are currently available only to residents of the County of Wetaskiwin. Residents of the City of Wetaskiwin and the Town of Millet are not eligible at this time.

   
   

   To ensure as many families as possible can participate, a limit of one (1) Together Time Kit per household applies.
10. Blue Sign/Civic Address*
12. Pick Up Location

    1. County of Wetaskiwin Office
    2. Winfield Library
13. Important Pickup Notice
    Those selected to receive a cookie kit will receive an email with pickup details. If you are unable to attend your scheduled pickup time, please contact us to make alternate arrangements. Unclaimed kits may be distributed to individuals on the waiting list.
15. Protection of Privacy Act
    The personal information collected through this Holiday Connection kit Application Form is for the purpose of administering the Holiday Connection Kit program, verifying applicant eligibility, communicating pickup information, and distributing program materials. This collection is authorized by Section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, please contact the County of Wetaskiwin Privacy Officer: email legislativeservices@county10.ca; telephone 780.352.3321.

    
    

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

    This field is not part of the form submission.

18. Submit

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