Well Water Survey | Wellington-Dufferin-Guelph Public Health

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Wellington-Dufferin-Guelph Public Health (WDGPH) and the University of Guelph are inviting anyone who uses a private drinking water well to complete a survey so Public Health can improve our well water testing services.

What Does Participation Involve?

The survey will take about 5‑7 minutes to complete. You can also pick up a paper copy of the survey at any of our water sampling bottle pick up locations.  

Eligibility to Participate

You must own or live on a property that is serviced by a private drinking water well, be willing to provide your address and be eighteen years old or older to fill out this survey. You are asked for your address because it will be used to link your survey answers to any testing results obtained through the well water testing service offered through Public Health. If your name appears with any water testing results, your name will be removed from the water testing result before the survey responses are linked to the water testing results. You are not asked to provide your name in this survey. Addresses or other identifying information will not be included in any report.

The final report will be posted for community members and partners on the WDG Public Health website. Findings may be presented to the WDG Public Health Board of Health, published, presented at conferences or to other health units or municipalities. You will not be identified in the report. Direct quotes will be used only if they do not identify you.

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Take the online survey

Get more information about the WDGPH Well Water Survey.

Spots Remaining:

8 and Under

0

Spots Remaining:

6 and Under

-1

Spots Remaining:

Lil Cleats (3 or 4)

0

Register Now

Spots are limited. Registrations close once an age group is full or by the registration closing date.

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purposes of administering the 2021 Youth Soccer Program. Questions about this collection should be directed to the Clerk’s Office: ClerksOffice@townofmono.com, 347209 Mono Centre Road, Mono ON L9W 6S3, 519.941.3599.

Parent Information *

Please enter the email where we should contact you regarding updates to the soccer program. Your email will only be used for contacting you about soccer.


Please consider volunteering as a coach. For the soccer program to go ahead, we need a volunteer coach for every team.

 

 

Team / Age Group Selection

8 and Under
 is full.
6 and Under
 is full.
Lil Cleats (3 or 4)
 is full.
Participant Information *
 
Gender *

We ask for gender, because it is useful to us when we are organizing the teams.






Player History *

To help us organize the teams, we would like to know if your child has previous soccer experience.




Please provide the name(s) of players who you would like to be on the same team as your child.
Please Note: we may not be able to accommodate every request.

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Uniform Sizing Chart - Please Measure for Proper Fit
Youth XS S M L XL
Chest Size 22" - 23" 24" - 26" 26" - 29" 29" - 32" 32" - 34.5"
Adult   AS AM AL  
Chest Size   37" - 38" 39" - 40" 41" - 43"  

 

Registration Is Closed

Registration closed on April 22, 2019.



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Date Posted:
November 15, 2018