Registration Form
July 23, 24, 25, 2010
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Phone Daytime:
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Email:
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Please detail special dietary needs &/or allergies:
If you have special physical or health needs please contact the registrar |
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Emergency Contact Information (who would we contact if you became ill during the retreat) |
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List all phone numbers
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In order to plan your fishing equipment needs we need to know:
Your Shoe Size:_______________ Are you Right or Left handed? _______________
Height: ______________________ Weight: _______________ T-shirt size: ______________
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To Register:
• complete this form
• complete the Release Form (available on our web site www.castingforlife.com)
• write a cheque for $150.00* payable to “Casting for Life”
• Mail all of the above to our registrar: Kim Blaikie, 47 Dalcastle Way NW, Calgary AB , T3A 2N4 .
• For more information contact Kim Blaikie at 403-247-3988 or kimblaikie@shaw.ca
*The fee for the CFL fly fishing retreat for breast cancer survivors is $150.00 per person and includes: 2 nights accommodation, GST, gratuities, all meals, snacks, bedding and towels, workshop fees and the use of our fly fishing equipment, waders and boots. The actual cost of this weekend is approx. $1000.00 per person and is made possible by our generous donors and volunteers.
2004 to present