Saskatchewan Wildfires 2025

Peter Ballantyne Cree Nation
Emergency Response Registration Form

Personal Information

First Name *

Middle Name

Last Name *

Gender *

Select

Male
Female
Prefer not to say
Other
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Community *

Select

Urban
Pelican Narrows
Denare Beach
Sturgeon Landing
Deschambault Lake
Southend
Sandy Bay
Kiskaciwan
Kinoosao
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Treaty/Status Number *

Date of birth *

Age Group *

Select

0–1 years
1–3 years
3–5 years
6–12 years
13–17 years
18–24 years
25–44 years
45–64 years
65+ years
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Contact Information

Cell Phone Number *

Home Phone Number

Alternate Phone Number

Email *

Home Address

Street Address *

City *

Province *

Postal code *

Do you have a fridge and/or freezer at home? (not your temporary address) *

Select

I have a Fridge
I have a Freezer
I have Both
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Temporary Address

Temporary Address Type *

Select

I Need Shelter
Remaining in Home address above
Campground
Friends/Family
Hotel/Motel
Medical Facility
Other
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Hotel/Motel Name *

Select

Best Western Blairmore - 306 Shillington Cres, Saskatoon
Best Western Plus Airport Inn & Suites - 317 Aerogreen Cres, Saskatoon
Best Western Plus East Side - 3331 8 St E, Saskatoon
Comfort Inn - 2155 Northridge Dr, Saskatoon
Comfort Suites - 203 Bill Hunter Ave, Saskatoon
Country Inn & Suites - 617 Cynthia St, Saskatoon
Dakota Dunes Resort - 203 Dakota Dunes Wy, Whitecap
Four Points - 503 Cope Way, Saskatoon
Heritage Inn - 102 Cardinal Crescent, Saskatoon
Hilton Garden Inn - 90 22 St E, Saskatoon
Holiday Inn Express & Suites East - 1838 College Dr Bldg# 2, Saskatoon
Holiday Inn Express & Suites Saskatoon Centre - 315 Idylwyld Dr N, Saskatoon
Holiday Inn Downtown Saskatoon - 101 Pacific Ave, Saskatoon
Park Town - 924 Spadina Crescent E, Saskatoon
Quality Inn & Suites - 1715 Idylwyld Dr N, Saskatoon
Ramada Inn - 806 Idylwyld Dr N, Saskatoon
Sandman Hotel - 310 Circle Dr, Saskatoon
Sandman Signature - 2815 Lorne Ave, Saskatoon
Saskatoon Inn - 2002 Airport Dr, Saskatoon
Super 8 Near Downtown - 1414 22 St W, Saskatoon
Super 8 Near the Airport - 706 Circle Dr E, Saskatoon
Travelodge - 106 Circle Dr, Saskatoon
Other
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If you cannot find your hotel, select 'Other' at the bottom of the list

Enter Your Hotel/Motel Name *

Medical Facility Name *

Select

Royal University Hospital
Saskatoon City Hospital
St. Paul's Hospital
Jim Pattison Children's Hospital
Other
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Enter the Medical Facility Name *

Campground Name *

Street Address *

Room Number *

Lot Number *

Province *

City *

Postal Code *

Support

Support Needed *

Emergency Shelter

Food and Water

Emergency Supplies

Transportation

Laundry Services

Medical Support

Emotional Support

Financial Assistance

Support for Pets

I Don't Need Support

Select all that apply

Specify Support Needed

Are You a Person with:

Person with disability

Pregnant

Single parent with dependents

Chronic medical condition

Mental health condition

Addictions

Your Household

Are you the head of your household? *

Yes

No

Status/Treaty Number of the Head of Your Household *

After clicking the button, if the loading indicator does not appear and you are not progressing to the next step, there may be missing or incorrect information. Please review your details and make any necessary corrections.

The PBCN Chief and Council are working hard to ensure that all evacuees are supported during this difficult time.

For any questions and support, please call us at (306) 900-9060.

Copyright 2025 | Peter Ballantyne Cree Nation - Emergency Response