• Cree Language Classes

    Registration Form

  • Participant Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Do people speak Cree in your home?*

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Is the participant able to attend every class?*

  • Consent to Release of Personal Information

  • I, the undersigned, hereby authorize:

    Indigenous Services Canada (ISC): Jordan's Principle and Choose Life

    To obtain/disclose the following personal information about me and/or my child:

    Full Name
    Address
    Phone Number
    Email
    Status Card Number


    Purpose of Disclosure:

    To adequately track the use of government funded health, wellness and education services.

    This information will not be disclosed to any other party without my further written consent, unless authorized or required by law.

    I have a right to request a copy of this form.

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