Region 3 Seasons of Refreshing Registration
Registration Form for Region 3 Seasons of Refreshing at ROC International Church, Regina Sk, April 17-19, 2020
For a successful registration, please ensure you fill out all questions prior to submitting your response.
Email address *
First Name
Your answer
Last Name
Your answer
Membership Number
If Applicable
Your answer
Spouse First Name
Your answer
Spouse Last Name
Your answer
Spouse Membership Number
If Applicable
Your answer
Total Number Attending 2020 Seasons *
Please indicate # of people from this registration submission attending
1
2
# of people attending
SOR Registration (cost per person) *
CMA Registration Direction - $25/person advanced ; $30/person after dealine.
Required
Saturday Lunch & Breaks ($15/person) *
We will try our best to accommodate Gluten and dairy allergies. Breaks will be muffins and fruit. Lunch will be Pitas. If your diet restrictions do not align with his menu, there will be a fridge on site for you to bring your own lunch and snacks.
0
1
2
Pita - Regular (various filling options)
Pita - Vegetarian, Gluten & Dairy Free
Will bring own lunch & Snacks (Dietary restrictions)
Registration & Meal Payment Details *
Contact Marilyn Dyck @ mbrenda.dyck@gmail.com to arrange payment details. e transfer preferred but cheques will be accepted. IF E TRANSFER, USE FOLLOWING PASSWORD, ALL LOWER CASE: region3seasons
Required
Saturday Evening Activity *
We are trying to gather numbers for those interested in a Saturday evening social event. Venues have to be pre booked so we are asking if there is a planned event, would you be attending or not.
Required
A copy of your responses will be emailed to the address you provided.
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