3 Day Pass: $30.00 until July 22nd 2008,
$40.00 after July 22nd, 2008.
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Which includes all my meals, camping and admission
to the entire event |
*Name: |
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Full Address: |
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Birthdate: |
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Phone: |
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Cell: |
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*Email: |
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Name of Parish: |
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School: |
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| In Case of Emergency Contact: |
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*Name: |
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Full Address: |
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Relationship to Applicant : |
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Phone : |
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Family Physician : |
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Physician Phone Number : |
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OHIP Number : |
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Please list any Allergies
and / or Medical Conditions : |
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In Case of Emergency, I understand that every effort will be made to reach the parent/guardian or
emergency contact listed on this form; but in the event one cannot be reached, I hereby give permission
to secure medical treatment as deemed necessary. I understand that all reasonable safely precautions
will be taken at all times by the Diocese of Peterborough and its agents during the events and activities.
I understand the possibility of unforeseen hazards and risks. I agree not to hold the Diocese of
Peterborough, its leaders, employees and volunteer staff liable for damages, losses, diseases or
injuries incurred by the subject of this form
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| Parent / Guardian: I agree to the above statement
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| Participant: I agree to the above statement
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| Statement of Consent |
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I hereby give permission for images of myself or my child, captured during regular and special activities
leading up to and including SONfest '06 through video, photo, and digital camera, to be used solely for
the purposes of the promotional materials and publications and waive any rights to compensation or
ownership thereto
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Participant: I agree to the above stated considerations and conditions
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Parent / Guardian if registrant is under 18 : I agree to the above stated
considerations and conditions
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With Online registration: Please send your cheque payable to RCEC
(or drop off cash) to:
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VEYO Centre
208 Romaine Street
Peterborough, Ontario
K9J 2C4
Confirmation of Registration and Activity sign up forms
will be emailed to you prior to SONfest '08
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