POW - Reward Entry Form               
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Thank you for participating in "Water in Our Backyard" by completing some of the Theme #2 activities with your after school group.  

Fill in the following form and we will send a Frog Eraser for each of your participants.

Submissions will be accepted until April 1, 2010. 

*Program Name
*Coordinator Name
*Mailing Address
*City and Province
*Postal Code
*Number of Participants
Total Water Conservation Actions
Contact Phone Number
*Email
Comments (optional)
Thank you for participating in POW Theme #2!
 
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