Fun Down the Lane (Adult/Family Edition)

Fun Down the Lane (Adult/Family Edition) 
Bring the whole crew or bring a friend for an afternoon of strikes, spares, and cheesy goodness. Whether you’re a bowling pro or just here for the pizza, this is your chance to roll into some fun memories. Warning: pizza may disappear faster than your bowling ball hits the pins! 

Saturday, January 24
10:30 a.m.–2:00 p.m.
Adults & Families
$25 per person 
Bus departs/returns at ROOTS Youth Centre (building T-99)
Destination: T-Birds Bowling (Brandon, MB)
Register & pay by Wednesday, January 14

Question Title

* 1. Are you:

Regular Force / family

Reservist / family

Veteran / family

Other - please specify:
1. Public Service Employee
2. CFMWS (PSP, NPF) Employee
3. Family within an 8km radius of Shilo

Question Title

* 2. Participant's Information

Name: *

Cell phone number:

Email Address:

Alternate phone Number:

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* 3. Will you have anyone attending with you? If yes, please share their name & age (if under 18).

Name:

Age:

Name:

Age:

Name:

Age:

Name:

Age:

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* 4. Do you or anyone in your party have any allergies or specific medical concerns?

Yes

If you have answered yes please give details

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* 5. Acknowledgment:

I acknowledge that, in the case of an emergency, the staff of the Shilo MFRC will secure medical advice and services as deemed necessary for the health and safety of anyone participating in Shilo MFRC programs. The Shilo MFRC does not assume financial responsibility for any cost associated with seeking medical advice.

Question Title

* 6. Do you grant permission to the Shilo MFRC, its agents, and employees, the right to photograph you and/or your minor child registered for this program for use in any MFRC publication including print, web sites or other electronic form of social media.

Yes

Question Title

* 7. How did you hear about this program? Please indicate your main source

Shilo MFRC monthly E-Newsletter

SMFRC Spills the Tea (MFRC deployment email)

MFRC social media (FB & IG)

Poster

Base Community Guide (Base TVs)

MFRC Website (www.cfmws.ca)

From a friend

Other (please specify)

Question Title

* 8. FOR OFFICE USE ONLY - DO NOT COMPLETE

Date:

Amount Paid:

Receipt #:

Staff Name: