REGISTRATION
Please tell us how you heard about this event?
Full Name *
Your answer
Telephone Number *
Your answer
Email Address *
Your answer
Adults *
Please select number of participants (including yourself) for whom you are registering
1
2
3
4
5
Adults ($30.00 ea.)
1st Student
1
1st Student ($20.00)
Additional Students
1
2
3
4
5
Additional Students ($15.00 ea.)
Student Grade Groups
Please place the number of students chosen above in one or more of the following grade groups
1
2
3
4
5
Grade 5-6
Grade 7-8
Grade 9-10
Grade 11-12
**NEW** Grade 3-4
Method of Payment (please choose) *
Please make cheques payable to 'Westney Heights Baptist Church' and mail together with a copy of this form to 1201 Ravescroft Road, Ajax, ON L1T4K5 **Please note that registration is not complete without payment. Please use paypal, or send in your cheque as soon as possible, thank you.
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