Upload
gretchen-griffin
View
43
Download
1
Tags:
Embed Size (px)
DESCRIPTION
Youth activity 12-17 years old. Introduction to golf le Ricochet, Chicoutimi. Sunday August 3 rd. Departure at: 8:am Return at : 1:pm. Golf course with instructor Golf set up driving swing Putting. 10 $. + Practice range PAR 3, normal 27. (Registration required before July 15th). - PowerPoint PPT Presentation
Citation preview
For information, call Frédéric Pilote : 677-4000 extension 7563
Registration formGolf le Ricochet - Sunday, August 3rd
Limit date subscription & payment Tuesday, July 15 th(non reimbursable) Return registration form and payment:
Administration office Rec. Center and Game Room Community center
General information
Full name : _____
Address : _____ Town : __________________________
C.P : Postal code : Phone : _________
Age : Date of birth : _ _ / _ / _ _ (day/ month /years
Health insurance number : ________ Exp Date :_____________________
Parent : House : Work : ___Parent : _______________ House : Work : ___
Person to contact in case of emergency : _____________________
Médical information : ___
To report to the Administration office Rec Center and Game Room Community center: Tuesday July 8th
Dates Hours Activity Age Package $
XSunday
August 3rd8:00am to 1:00pm Golf le Ricochet 12-17 y/o Including transportation and introduction golf
10 $
Votre Total 10 $
I authorize my child to participate in the following activity : Golf Le RicochetAnd by the same token, I release: See attached document for signing
This information contained on this sheet are confidentialThe organization of the Personal Support Program is committed to respect
confidentialityFor information, contact Fred Pilote, recreational monitor at 677-
4000extension 7563.
For information, call Frédéric Pilote : 677-4000 extension 7563
Registration formTrou de la fée Wednesday, August 13th
Limit date subscription & payment Tuesday, August 5th(non reimbursable) Return registration form and payment:
Administration office Rec. Center and Game Room Community center
General information
Full name : _____
Address : _____ Town : __________________________
C.P : Postal code : Phone : _________
Age : Date of birth : _ _ / _ / _ _ (day/ month /years
Health insurance number : ________ Exp Date :_____________________
Parent : House : Work : ___Parent : _______________ House : Work : ___
Person to contact in case of emergency : _____________________
Médical information : ___
To report to the Administration office Rec Center and Game Room Community center: Tuesday July 8th
Dates Hours Activity Age Package $
XWednesday August 13th
7:30am to 4:30pm Trou de la fée 12-17 y/o Including transportation and visit15 $
Votre Total 15 $
I authorize my child to participate in the following activity : Trou de la féeAnd by the same token, I release: See attached document for signing
This information contained on this sheet are confidentialThe organization of the Personal Support Program is committed to respect
confidentialityFor information, contact Fred Pilote, recreational monitor at 677-
4000extension 7563.