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Release Form

A Release Form can be obtained from the Gander Town Hall or from this site. Please drop by or contact us at:

Town Hall
100 Elizabeth Drive
Gander, Newfoundland
PO Box 280
A1V 1W6
Tel: 709 651-2930
Fax: 709 256-5809
E-mail: info@gandercanada.com


or print the form below and return to the above address.



RELEASE FORM

Full Name:

Date of Birth: / /

LIST OF ADDRESSES FOR THE PREVIOUS LAST FIVE (5) YEARS:

Address:






I hereby authorize the Gander Detachment to release any information which may be contained in the Royal Canadian Mounted Police records under my name, pertaining to any criminal activities, to Gander Fire Rescue.

___________________________
(Signature)

    /     /   

(Date)

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