Online Forms

2. 
3. Youth Centre Upcoming Programs

   We're planning some great events/activities that are safe during COVID-19. This month, we have:

   Outdoor Walk & Slurpee's (Thursday, June 3rd)

   Virtual Game Night (Tuesday, June 15th)

   Let's Bake Virtually (Tuesday, June 29th)

4. 
6. REGISTER NOW!
8. Youth's First Name*
9. Last Name*
11. Email Address*
12. Phone Number*
13. Age*
15. Home Address
    Items will be delivered here for specific programs.
17. Please check beside all programs you would like to register for:

    1. Outdoor Walk & Slurpee's (Thursday, June 3rd)
    2. Virtual Game Night (Tuesday, June 15th)
    3. Let's Bake Virtually (Tuesday, June 29th)
19. Would you like to find out about additional supports and services for teens?*

    1. Yes
    2. No

    Your contact information will be used by the Youth Centre Coordinator to contact you or share information with you.
21. Thank You!
    We're excited! James will contact you by email or phone with the registration information. If you have any questions, please connect with him at jeveritt@hinton.ca or call 780-865-6029.
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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