Personal information contained on this form is collected under the authority of the Municipal Act 2001 and will be used by City Staff for the purpose of administering recreational programs for the Community Services Department in the City of Stratford.

Questions regarding the collection of this information may be directed to the City Clerk at PO Box 818, Stratford ON N5A 6W1 or by telephone 519-271-0250 x235 during business hours.