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Ertificate #: Respect in Sport Expiry Date: Mother/Guardian Name: Father/Guardian Name: Dear Sir/Madam: / I / We hereby declare that permanent / primary residence has been established at the following location since (month/year): / Address: City / Town: Mailing Address: Legal Land Description / , AB Postal Code: (if different than above) (i.e. SW 12-20-33 W4): (if rural address) Phone: E-Mail: Former Address: Our former address was: Address: City / Town: Mailing Address: Legal.

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