The Year You Can See (evening)

The Year You Can See
Come join us in creating a roadmap for the year ahead. We’ll give you practical goal-setting strategies that are simple, so you leave with a board you’ll actually look at. Whether you’re planning personal goals for the year ahead or dreaming up experiences for a deployment or absence, this session is for you! We’ll provide magazines, assorted supplies and light refreshments. You bring your goals, ideas, and inspiration! 

Wednesday, January 14
5:00-7:00 p.m.
Adults
$10 per participant (military)
$13 per participant (other)
Meet in the Counselling Centre
Register by Monday, January 12

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:

Alternate phone number:

Email Address:

Question Title

* 3. Do you have any allergies or specific medical concerns?

Yes

If you have answered yes, please give details

Question Title

* 4. Acknowledgment:

I acknowledge that, in 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

* 5. 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

* 6. 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 or IG)

Poster

Shilo Community Guide (Base TVs)

MFRC Website (www.cfmws.ca)

From a friend

Other (please specify)

Question Title

* 7. FOR OFFICE USE ONLY - DO NOT COMPLETE

Date:

Amount Paid:

Receipt #:

Staff Name: