Whale Moot Pre-Registration Form

2010 WHALE MOOT

PRE-REGISTRATION SHEET

YES! WE ARE COMING

PLEASE REGISTER Crew/Company # _________ OF _________________________

WE ARE REGISTERING AS FOLLOWS:

☐YOUTH # _____

☐LEADERS # _____

THESE ARE ESTIMATES ONLY and you will not be held to them, but please try to guess accurately.

☐Y ☐N - Indicate Is Everyone Registered In Scouting or Guiding

☐Y ☐N - Please indicate here if you are a Girl Scout unit

☐Y ☐N - Please indicate here if you need to leave early Sunday morning

OUR CONTACT PEOPLE ARE:

ADVISOR: PRIMARY YOUTH CONTACT:

Name: Name:

Address: Address:

City: City:

Province / State: Province / State:

Postal / Zip Code: Postal / Zip Code:

Phone: Phone:

Fax: Fax:

Email: Email:

Please make cheques payable to: "Scouts Canada First Whitby"

Send completed form to:

Brian Wick

1101-711 Rossland Rd E

Whitby, ON L1N 8Z1

PLEASE DO NOT DELAY IN SENDING THIS APPLICATION OFF.