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Special Registration Form

For complete registration information, class details or if you do not want to submit your registration online, please click here.

1. Please provide the following contact information.

Please note that you can only use one form per participant.

Participant's Name

Parent's Name

Street Address

City Province Postal Code

Home Phone

E-mail

2. Choose one of the following options:

Phoenix Kid Child Registered with another Board Adult Sibling of a Phoenix Kid

3. Select any of the following class/ event options that you would like to register for:

Yes!	Item	Event Name	Age	Day	Start Date	Start time	Location	Fee	Non
	H1	Hockey Club	ALL	Wed	Dec 17, 2009	12:45 PM	H PE	$25.00	$30.00
		Dino Picnic	ECS - Gr. 2	Tues	May 4, 2010	11:30 AM	DRUMHELLER	$5.00	$5.00
	L1	LEGO MINDSTORMS	7+	Thurs	Jan 21, 2010	11:00 AM	TBA	$25.00	$30.00
		Digging Dinos	Fr. 3-6	Tues	May 4, 2010	11:30 AM	DRUMHELLER	$5.00	$5.00
	C1	Cretaceous Crime Scene	Gr. 6-9	Tuesday	May 4, 2010	11:30 AM	DRUMHELLER	$5.00	$5.00

Additional Comments :

4. How would you like to pay for these classes or events?

We cannot process your registration until payment has been received, so if you are paying by cheque or cash, please be sure to send it as soon as possible.

Total Due :

NOTE: ALL FEES ARE NON-REFUNDABLE.

5. If you are all done, then please submit this form.

You will be able to print a copy of this registration your own records, however, please note that: CANCELING THE PRINT DOES NOT CANCEL YOUR REGISTRATION.

A receipt will be sent to you within a few days.

Changes are not possible once the form has been submitted except within the first 24 hours. If you have made an error, please note in the comment box of the next form or call us right away. (403) 265-7701

Thank you for soaring with Phoenix!

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