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Orientation Registration Form

First Name:
Last Name:
Street Address:
Apt#:
City:
Province:
Postal Code:

Email:
Phone #:
Student ID:
Program Title:
Campus
Are you the first person in your immediate family to attend a Canadian post-secondary institution?
Yes No
Would you like to receive information from the Centre for Students with Disabilities?
Yes No
Are you an international student?
Yes No
What topics would you be interested in at Orientation?
Will you be bringing your parents/partners/friends or family?
Yes No
If yes, would they like to attend the friend/family/partner/parent session?
Yes No
Comments:
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