Sport Manitoba - Fit Kids Healthy Kids

Program Request Form

Please note this request is not confirmed until we have followed up with your assigned facilitator via email.

We will do our best to accommodate your requested time/day.

We require at least one month's notice of your requested event.

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You will receive your receipt by email.

First name *

Last name *

Email *

Mobile *

First name

Last name

×

Email

Mobile

Name of Organization *

Address *

City *

State/Province *

Zip/Postal code *