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2. Coquitlam is providing a free Emergency Preparedness Information Session on Tuesday, May 5 from 7 to 8 p.m. at Town Centre Park Community Centre.

   Our Emergency Management Division staff will walk you through the steps necessary to be better prepared for emergencies, including what supplies to assemble in your emergency kit.

4. Registrant Name
6. Email Address
7. Phone Number
9. Freedom of Information and Protection of Privacy Act

   By submitting this form you are consenting to the collection, use and disclosure of your personal information between the City of Coquitlam and CivicPlus (Service Provider).  Your information is being collected for the purposes of the Emergency Management Information Session in accordance with Section 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of your personal information, please contact our Emergency Program Office by email.

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11. 1. Receive an email copy of this form.
12. Email address

    This field is not part of the form submission.

13. Submit

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