| Name | Yihk jphx Gillis |
|---|---|
| Date of Birth | 06/01/1956 |
| Address | 4048 St. John Street M ntrmdetoyex Dundurn, N Nmj Al vht S4p 3y2 United States Map It |
| Home Phone | (306) 492-8936 |
| Mobile Phone | (306) 492-8936 |
| Email hidden; Javascript is required. | |
| I am a competent swimmer | Yes |
| In Case of Emergency | Please provide an Emergency Contact |
| Name | Q Pl ifrzkn Gillis |
| Home Phone | (306) 492-8936 |
| Mobile Phone | (306) 492-8936 |
| Email hidden; Javascript is required. | |
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| Health History | The following information is requested. This information will be kept confidential and shared only when as deemed needed. Any changes to this information must be provided to the boat captain. Please provide complete information, so that we can be aware of your needs. |
| COVID-19 Vaccine | Yes |
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| Medications Being Taken | NO, Medications on a routine basis. |
| Do you have a history of Asthma? | Yes |
| Do you have a history of seizures? | Yes |
| Are you Diabetic? | Yes |
| Do you have abnormal blood pressure or a history of heart disease? | Yes |
| Have you ever had an anaphylactic reaction? | Yes |
| If you answered Yes, please explain. | Hi, Are you looking to boost traffic to your website with genuine, interested visitors? Look no further! We specialize in running solo ads that connect you with qualified audiences who are genuinely interested in what you offer. Solo ads offer a direct channel to reach potential customers, ensuring that your message is heard by those most likely to engage with your content or services. With our expertise, we can tailor solo ads to match your target audience, maximizing the impact of your marketing efforts. If you're interested in driving real, organic traffic to your website, simply visit our offer page here : Looking forward to hearing from you! Thank you and have a good day, Lori If you prefer not to receive our messages anymore, feel free to utilize the provided link. |
| Additional Information to provide | Hello, Are you looking to boost traffic to your website with genuine, interested visitors? Look no further! We specialize in running solo ads that connect you with qualified audiences who are genuinely interested in what you offer. Solo ads offer a direct channel to reach potential customers, ensuring that your message is heard by those most likely to engage with your content or services. With our expertise, we can tailor solo ads to match your target audience, maximizing the impact of your marketing efforts. If you're interested in driving real, organic traffic to your website, simply visit our offer page here : Looking forward to hearing from you! Thank you and have a good day, Lori If you prefer not to receive our messages anymore, feel free to utilize the provided link. |
| Food Preferences | Please check those you like & add comments where necessary |
| Food Likes |
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| Breakfast | Hearty |
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| Bar Preferences |
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