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Intake Form Child Please complete this form as thoroughly as possible. This information will be kept in strict confidentiality. SECTION 1 GENERAL INFORMATION: Name:Age:Date:Date of Birth:Address:City:Province:Postal
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This information will be financial disclosure information.
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The purpose of this information will be to ensure transparency and accountability within the organization.
Information such as income, assets, and liabilities must be reported on this information.
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