CJ-PRE-JAM
Registration Form
Please complete this form and return it to our Registrar as soon
as possible. The deadline for registration is: April 15, 2001.
**Online registration is under construction. Please check
back. This form can be printed.
Group/Unit: __________________________________
City: ____________________________
Contact Person: __________________________________________________________________
Mailing Address: __________________________________________________________________
__________________________________________________________________
Phone Number: ______________________ FAX #: _____________________________________
E-Mail: ______________________________________________________________ (print clearly)
Special Requirements: ____________________________________________________________
# Participants ______________ x $15 = _______________________
# Adults ____________________ x $15 = _______________________
Total fees remitted $__________________ (Cheque
or money order Canadian Funds
Payable to "Scouts Canada - Porcupine District")
Expected time of arrival: _________________
Expected time of departure: __________________
(date & time)
(date & time)
Number of vehicles expected: ____________ cars/ vans ___________
busses
Please send Registration Form and cheque/money order to:
Gold Rush Rendezvous 2001 Registration
Box 3
Matheson, ON P0K 1N0
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.