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Retirement Workshop Thurs Apr 23

First Name

Last Name

School / Worksite

Non-Board Email

ETFO Number

OCT Number

PDSB Employee Number

Is this your 1st (first) time attending a PETL event?

How many years have you been a PETL member (Permanent Hire with the PDSB)?

Dietary Requirements (i.e., Anaphylaxis/Allergy to , Gluten-free, Halal, Kosher, Lactose Intolerant, Pescatarian, No Dairy/Beef/Pork, Vegetarian, Vegan)

Accommodations (i.e., Closed Captioning Required)

Self Identification

Racialized Person (Please Specify)*

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