FUN RACE LEAGUE
Registration Form
(Minimum age is 12)

First Name
Last Name
Address:
City:
Prov/State:
PCode/Zip:
Home Phone:
Fax:
Email:
Which side is your paddle preference
Left: Right

Do you wish to be on a team with a partner
Yes: No:
If yes, please provide name of partner
(Partner must also register seperately)

Have you paddled on a Dragon Boat before:
Yes: No:

Cheques for $35.00 can be made out to Rotary Club of Stratford/Race league
and sent to Mike Neilson, 285 Lorne Ave. East Unit 1,Stratford,ON,N5A 6S4 email: mikeneilson@bellnet.ca

We will get back to you shortly

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