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Please complete this form and click "submit". 
The deadline for registration is:  April 15, 2001


Contact Person

Mailing Address

Phone Number


E-Mail Address

Special Requirements

# Participants

x $20

# Adults

$ 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)

Offsite activities:: The following # of people have expressed an interest in the following activity 
 (cost will be up to $15 per person) 
Abitibi Consolidated (Paper Mill)

Kidd Creek Met Site (Dome Open Pit)

Gold Mine Tour

Please send cheque or 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.

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