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Riverview Hospital Artifact Collection Information

  1. Thank you for your interest in the Riverview Hospital Artifact Collection.

    We are currently documenting offers to share information about artifacts in the collection, and requests to borrow objects from the collection for a display or exhibit for follow up in the future. Please complete and submit the form. Your information will be retained on file.

  2. Purpose of Inquiry*
  3. Is your organization a museum or other heritage organization?
  4. Do you have professional curatorial and/or conservation staff to manage the loan?
  5. Thank you for completing this form.

    All forms submitted will be retained for follow up in the future. Please do not include any personal information other than your contact information.

  6. Freedom of Information and Protection of Privacy Act

    I understand by submitting this form I am consenting to the collection, storage, use and disclosure of my personal information for the purposes of the Riverview Artifacts Collection Program in accordance with the Freedom of Information and Protection of Privacy Act. I understand that my personal information will be disclosed to a third-party service provider (i.e. website host Civic Plus) located in Canada for the purpose of processing your request. If you have questions or concerns about the collection of your personal information, please email Karen Basi, Cultural Services Manager .

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  8. This field is not part of the form submission.