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Coquitlam Celebrates Canada Day - Get Involved Virtually!

  1. I am available for in-studio filming on May 19 and / or May 20*
  2. In accordance to the Provincial Health Orders, I am able to perform with appropriate physical distancing with the members of my group.*
  3. Will your performance have live music or pre-recorded music?*
  4. Collection & Use of Personal Information*
    By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act. The information provided by you will be used solely of indicating your interest in participating in Canada Day 2021. Your information will not be used for any other purpose. If you have any questions about the collection, storage, correction and | or use of your personal information please contact Karen Basi - City of Coquitlam, Parks Recreation and Culture, at 604-927-6962.
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