Washington HS & UNI

Name:*
E-mail:*
Select Grade:*
Date of Birth:*
 / 
 / 
Phone:*
-
Passport number :*
Passport Expiry Date:*
 / 
 / 
OHIP Health Card:*
Allergy:
Place of Birth:*
Address:*
Rooming Friends:
Payment Card Holder Name:*
Parent/ Guardian Name:*
Parent/Guardian Phone:
-

Please DOWNLOAD, PRINT and FILL out the Waiver Form, and return it to Daniel Habashy. 

Waiver Form 2018
Word Verification:

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