Memegwashi_formulaire

For a registration to be valid, a registration form must be duly completed.

Gala Form

The eligibility criteria are simple: Must be Inuit, Métis or from a First Nation and attend a school in Val-d'Or.

* Indique un champ obligatoire

First Name *

Last Name *

Gender *

Feminine Male Gender neutral

Age *

Adress *

Apartment *

City *

Phone number *

Postal code *

Cell number *

Email Address *

Name of school or institution attended *

Name of parent or guardian *

Name of the person registering the student (parent, friend, teacher, etc.) *

By registering, the student and/or their parent/guardian agrees that the Val-d'Or Native Friendship Center will use their photo for the intended purposes. *

Yes

By checking yes, you authorize the registration of this student. *

Yes No

Informations - Registration
Nancy Massé
[email protected]
819-825-8299 # 351

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