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Registration Form

All fields with ** are required to be filled in.

Please complete this form and return it to our Registrar as soon as possible.  The deadline for registration is:  April 15, 2001.


**Contact Person: 

**Mailing Address: 

**Phone Number: 
  FAX #: 


**Special Requirements: 

** # Participants 
x $20 =

** # Adults 
x $20 = 

 **Total fees remitted    $
(Cheque or money order Canadian Funds -  Payable to "Scouts Canada - Porcupine District")
**Expected time of arrival(date & time): 

**Expected time of departure:(date & time)

**Number of vehicles expected (please specify cars/vans or busses): 

Please send Registration Form and cheque/money order to:

  Gold Rush Rendezvous 2001 Registration
  654 Park Avenue
  Timmins, ON  P4N 3X6

NOTE: We make no guarantee camping sites will be available unless we receive your registration form by the deadline date.  Campsites are limited at the Park–please register early.

Back to main Rendezvous page.