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Note: The Access to Recreation Grant is only available to Town of St. Marys residents.
Privacy Statement: Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, and will be used for the purpose of determining eligibility for Access to Recreation Grant and for program/membership registration. Personal information will only be kept for as long as necessary to fullfill the purposes for which it is collected. If you have any questions about this collection of personal information, you can contact the Freedom of Information and Privacy Co-ordinator, Clerks Division, at 519-284-2340, extension 212.
4. Please provide your full address.
5. Please provide your contact details:
9. List names, birth dates and genders of all individual(s) in the household who are applying for Access Grant.
10. Please provide the total gross income for each adult in your household.
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The information provided is confidential and will not be released.
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