2026-2027: DRC Presents: Parent Child Mother Goose Tuesday, May 5, 2026 10am-10:45am until July 7, 2026

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* 1. Name(First and Last)

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* 2. Email Address

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* 3. Are you a Metis Nation of Ontario Citizen ?

Yes

No

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* 4. If you are a MNO Citizen what Administrative Region do you live in?

Region 1

Region 2

Region 3

Region 4

Region 5

Region 6

Region 7

Region 8

Region 9

Prefer not to say

None of the above

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* 5. What is your full mailing address ?

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* 6. What is your Phone number

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* 7. Are you currently connected to a Healthy Babies Healthy Children Coordinator?

Yes

No

Name of Coordinator