2. Please return forms to:
   Community Programs
   City of Beaumont
   5600 - 49 Street Beaumont, AB T4X 1A1
   Phone: 780-929-1362
   Fax: 780-929-8729
4. Beaumont welcomes all comments and suggestions you may have to help us provide the best recreational and cultural programs possible.
8. Section 1 - Participant Information
10. First Name
11. Last Name
13. Program
14. Phone
15. Date
    Date
19. Section 2 - Feedback
21. How did you hear about this program?

    1. Website
    2. Brochure

    1. Newspaper
    2. Other
22. Other
24. Were you looking for a course of this nature prior to seeing it advertised?

    1. Yes
    2. No
26. Did this course meet your needs?

    1. Yes
    2. No
27. If not, how can we improve the program?
29. Would you be interested in attending additional or more advance programs of this nature?

    1. Yes
    2. No
31. Was the instructor well prepared?

    1. Yes
    2. No
33. The instructor’s level of knowledge was:

    1. Excellent
    2. Good

    1. Sufficient
    2. Inadequate
35. Have you previously enrolled in one of our programs?

    1. Yes
    2. No
36. If yes, which program(s):
38. Do you prefer to attend programs that are:

    1. Long (Over 4 Weeks)
    2. Short (Under 4 Weeks)
40. I would like to see Beaumont offer the following programs:
42. I am offering my talent to instruct classes/or qualified instructor in following areas:
46. Section 3 - Additional Comments
48. Comments
50. The personal information requested on this form is being collected under the authority of the City of Beaumont Bylaw 382 and Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. The information collected will be used as for the purpose of setting up utility billing.
    
    If you have any questions about the collection or use of your personal information, contact the City of Beaumont’s FOIP Coordinator at:
    City of Beaumont's FOIP Coordinator
    5600-49th Street
    Beaumont, AB T4X 1A1
    Phone: 780-929-8782
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52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

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