Note:

- Please use this form to express your interest in attending Florence Nightingale Day on May 5 at York University's Markham campus.
- Note that attendance for this event is capped at 30.
- Once you submit your form, we will email additional information to you along with a waiver for your parent/guardian to sign prior to the event.

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* 1. First Name (This name will appear on your badge)

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* 2. Last Name

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* 3. Email Address

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* 4. School you attend

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* 5. Grade

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* 6. Do you have any food restrictions?

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* 7. What is your reason for signing up? What do you hope to take from the day?

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* 8. Do you need help with transportation to the Markham campus?

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