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First name Last name Community Angling LakeBearskin LakeBig Trout LakeCat LakeDeer LakeFort SevernFrenchman's HeadKasabonikaKeewaywinKejick BayKingfisher LakeMuskrat DamNorth Spirit LakePikangikumSachigo LakeSandy LakeSioux LookoutSlate FallsSummer BeaverWhitefish BayWunnumin Address line 1 Address line 2 City Province Alberta British Columbia Manitoba New Brunswick Newfoundland Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Postal Code Phone number Birth date (optional)