Submission Form

First Name

Last Name

Student Number

PLEASE NOTE- Participants will be contacted and required to PICK UP THEIR FREE GIFT in a designated location in Richmond at an arranged time & date from vendor with adherence to all Covid-19 protocols and restrictions. Must present Langara ID card to receive gift.

I hereby consent the above provided information to be shared with the vendor for verification and picking up my prize in-person at the designated location at the arranged time & date.

I recognise that I am a current Spring 2021 student