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COVID-19 RESOURCE GUIDE

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Registration and consent form

First Name

Email

Address

Country of origin / heritage?

Last Name

Phone

How would you identify yourself?

Level of English knowledge?

I hereby acknowledge that my photograph and video might be taken and I grant my permission to LIP the rights of my image in video or still or the sound of my voice as recorded on camera or video without payment or any consideration.

I here by acknowledge that my participation is completely voluntary and I can decide to stop participating at any time.

Thanks for submitting!

COVID-19 RESOURCE GUIDE

Contact Us

22554 Lougheed Hwy

Maple Ridge, BC, V2X 2V1

Call Us

604-467-6055

Connect with us

Opening hours

Email Us: msc@familyed.ca

Monday - Thursday

9AM - 4PM

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LIPs Logo_edited.png

Home
Strategic Plan
Who We Are
Current Work
- NNAC
- NNAC Team
Resources
Events & Calendar
Reports
Contact
More

Use tab to navigate through the menu items.