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First name Last name Community Angling LakeBearskin LakeBig Trout LakeCat LakeDeer LakeFort HopeFort SevernFrenchman's HeadHudsonKasabonikaKeewaywinKejick BayKingfisher LakeLansdowne HouseMarten FallsMuskrat DamNorth Spirit LakePikangikumPoplar HillRound LakeSachigo LakeSandy LakeSioux LookoutSlate FallsSummer BeaverWebequieWhitefish 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)