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2. Team Name*
4. Team Captain (Member 1) Name*
6. Team Captain Email*
7. Team Captain Phone Number*
11. Member 2 Name*
12. Email Address*
16. Member 3 Name*
17. Email Address*
21. Member 4 Name*
22. Email Address*
26. Member 5 Name*
27. Email Address*
31. Be advised that your team name will be published on the City of Lacombe website. The name of the captain and team members may be included.
33. Additional articles to help you be WinterActive may be found on the City’s website.
35. If you do not wish to have your name posted on the website let us know.
    Contact Us
39. Freedom of Information & Protection of Privacy
    The personal information that you provide to the City of Lacombe is collected under the authority of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act – Section 33(c). The information will be used for the purpose of maintaining accurate records of recreation program users. Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with the FOIP Act, and can be reviewed and corrected upon request.
41. Questions regarding the collection of personal information can be directed to the FOIP Coordinator.
    Contact the FOIP Coordinator
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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field