PARTICIPANTS NAME __________________________________________________ AGE ___________ ADDRESS ______________________________________________CITY _________________________ PROVINCE ____________ POSTAL CODE ________________ PHONE __________________________ EMAIL ADDRESS _____________________________________________________________________ HAVE YOU PARTICIPATED IN THIS EVENT BEFORE? ___________ NAME OF PERSON YOU WILL BE DOING THE EVENT IN HONOR OF (if you want to but not mandatory) _________________________________ HOW DO YOU KNOW THEM ___________________________ LAKE LOUISE ENTRY FEE: $40 – Event registration must be paid prior to receiving donation information & payment can be made through E-Transfer or cheque payable to Three.Two.Done! DONATIONS: All participants must raise a minimum of $200 in pledges. Donations can be collected in cash or cheque or an online donation may be made. All cheques must be made payable to the Canadian Cancer Society. I, ___________________________________________ agree to raise the required $200 for the 2018 (print participants name) Bikinis for Breast Cancer Event and bring all donations and pledge sheets to the Event Registration at Lake Louise on Saturday, April 28th. BIKINIS FOR BREAST CANCER PARTICIPANT SIGNATURE ___________________________________ DATE OF REGISTRATION _________________________________ Please send your completed registration form and Event Fee cheque to: Karen Guidos - Event Producer E events@threetwodone.com C 403.678.8487 A PO Box 8837 Canmore, Alberta T1W 0C1

The 2018 Lake Louise BIKINIS FOR BREAST CANCER fundraising event will be held on Saturday, April 28, 2018 at Lake Louise Ski Resort. The event is open to females of all ages. Discounted lift tickets will be available for all participants on event day.

EVENT OFFICE USE ONLY REGISTRATION PAID ____________ PARTICIPANT FUNDRAISING AMOUNT $ ______________ PLEDGE FORM _________ WAIVER SIGNED _________ SOUVENIR _________ BAG _________