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2. Application for Children Playing Warning and Cautionary Signs as per Policy 32.1.7
4. First Name*
5. Last Name*
7. Mailing Address*
8. Rural Address*
10. City*
11. Province*
12. Postal Code*
14. Email Address*
15. Phone Number*
17. Type of Sign Requested*
    -- Select One --Children Playing
19. Payment Method *
    -- Select One --ChequeVisaMasterCard

    (Must be paid in advance, in person or on-line)
20. 
22. Protection of Privacy Act

    The personal information collected through this Application for Children Playing Warning and Cautionary Signs as per Policy 32.1.7 form is for the management of requests for cautionary signage. 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.

    
    

26. Office Use Only:
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print