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Registration Forms

UNIT:__________________________________________________
Advisor:_______________________________Phone #:__________________
Attending Advisors:
1._______________________________Phone #:__________________
2._______________________________Phone #:__________________
Emergency Contact:
Name:_____________________Phone #:__________________
Youth Members:
Name Phone # M/FHealth Card #Travel Code
1.________________________________________________________________________________
2.________________________________________________________________________________
3.________________________________________________________________________________
4.________________________________________________________________________________
5.________________________________________________________________________________
6.________________________________________________________________________________
7.________________________________________________________________________________
8.________________________________________________________________________________
9.________________________________________________________________________________
10.________________________________________________________________________________
11.________________________________________________________________________________
12.________________________________________________________________________________
13.________________________________________________________________________________
14.________________________________________________________________________________
15.________________________________________________________________________________
16.________________________________________________________________________________
17.________________________________________________________________________________
18.________________________________________________________________________________
19.________________________________________________________________________________
20.________________________________________________________________________________
Payment: (Bus) $35 X ___ =$____
(Car) $20 X ___ =$____
Split Group for Hosted Dinners:
Yes / No
Please indicate who is in each group.
Cheque: $____ Cash: $____
Owing: $____

*** Travel Codes