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2. The Town of Slave Lake Naming Advisory Committee is seeking suggestions for names to put on a 'Reserve List.' If Town Council needs to name a facility, playgrounds, park or trail they could select a name from the reserve list.
4. Name*
5. Email Address*
7. City*
8. Province*
9. Postal Code
11. Phone Number*
12. Cell/Alternative Number*
14. Suggested Name #1 *
15. Suggested Name #1 to be used for

    1. Park
    2. Facility
    3. Playground

    1. Trail System
    2. Other
17. Suggested Name #2
18. Suggested Name #2 to be used for:

    1. Park
    2. Facility
    3. Playground

    1. Trail System
    2. Other
20. Suggested Name #3
21. Suggested Name #3 to be used for:

    1. Park
    2. Facility
    3. Playground

    1. Trail System
    2. Other
23. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature*
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field