I acknowledge that, by typing my name below, I am the applicant for the service and will be the account holder, and I agree to be bound as if I had endorsed this document with my own handwritten signature. I further agree that all the information on this application is true, accurate and complete to the best of my knowledge.
The City of Red Deer is collecting personal information for the purpose of ensuring that citizen contact information is current and accurate in City systems. The personal information on this form is collected under the authority of the Municipal Government Act Section 3 and is protected under the provisions of the Freedom of Information and Protection of Privacy (FOIP) Act. If you have any questions about the collection, use and protection of this information, please contact the Manager of Information Technology Services, Box 5008, Red Deer, AB, T4N 3T4 or email@example.com.