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Please allow two to four weeks for your request to be processed. Requests will be reviewed and processed on a first come, first served basis. Incomplete applications will cause a delay in the review process.
Applications are accepted according to the following schedule:
Information
Program/activity (sport, recreational and cultural)
Two references - Please provide two references (other than family members) that are familiar with your family and financial situation. (Example: teacher, coach, social worker, neighbor, doctor or nurse.)
Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif
Personal information contained on this form is gathered under the authority provided by the Right to Information and Protection of Privacy Act and the Personal Health Information Privacy and Access Act. This personal information will be used for the child's registration in the P.R.O. Kids program. Contact the Clerk's office of the City of Dieppe at 877.7900 for any questions regarding the collection of this data.
125CLV02.23
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