FORM: Sylvan Link Card Intake: Town of Sylvan Lake

Back to homepage
Back to homepage / Public Services
Back to homepage / Wellness & Community Connections
/ FORM: Sylvan Link Card Intake

Sylvan Link Intake

Welcome

Sylvan Link program Criteria:
• The client has met the financial criteria.
• The client has agreed to show their Sylvan Link Card when entering the
business.
• The client has agreed that they will not share their card with anyone else.
• The client is aware that access may be terminated at the discretion of WCC.
• The client acknowledged that the card must be renewed annually.

First and last name *

Date of birth *

Phone number *

Email *

Do you live in Sylvan Lake *

Yes

Add family members

Family member 1 name

Family member 1 date of birth

Family member 2 name

Family member 2 date of birth

Family member 3 name

Family member 3 date of birth

Please upload your Notice of Assessment and a photo of yourself/each family member

Choose File No file chosen

The maximum total size of all files in a single form submission is 1 GB.

I have read, understand, and agree to abide by the Terms and Conditions of the Sylvan Link Program. *

Leave Blank

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.