Registration Form August 2-5, 2013 Name:
First Name
Last Name
Maiden name
(If you want it on name tag)
Address: Town/City: Province: Postal Code:
Additional Family Members First Name
Last Name
Age (if under 18)
Comments!
Registration is $10.00 per person/family there will be name tags and a Centennial Goody Bag at the Registration Office waiting for you when you arrive. (One bag per $10.00 registration). Mail to: Centennial Registration, Box 59, Vulcan, AB, T0L 2B0. Cheques made out to Vulcan100 Committee.