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First name

Last name

Please confirm your email address

Phone (please include area code)

Signing up as a

Name of school board/district:

Name of school:

Address

City

Province/Territory

Postal code

School grades

Total number of students participating

Number of classrooms participating

Name of club/group

Name of branch/unit of club or group

Address

City

Province/Territory

Postal code

Age levels of branch/unit

Total number of youth participating

Number of groups participating

Would you like your toolkit shipped to a different address? If yes, please enter the mailing address below

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Mailing address

City

Province/Territory

Postal code

Job title

Toolkit language preference

EnglishFrench (please note some materials may be in English due to availability)

I already received a toolkit this year to the above registered school

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How did you hear about the Legacy Schools program?

Please explain if other:

Referral information

Friend's first name

Friend's last name

Friend's email address

Would you identify your school/club or group as Indigenous?
If yes please select:

The following questions are designed to let us know where you are on your learning journey when it comes to reconciliation. We are here to help and support you on that journey. There are no wrong answers.

	Strongly disagree	Disagree	Agree	Strongly agree
As a club leader/educator, I understand how to teach about Indigenous ways of knowing, culture, and perspective.
In my opinion, staff in my school/club feel empowered to teach about current issues facing Indigenous communities.
As an educator/leader, I am comfortable teaching about residential schools.

Please provide any other relevant information.

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