welcome to the shad valley program hosted by carleton university

Carleton ShadInformation SheetShad Participant InformationNameAddressTelephoneE-mail Youth-Large Small Medium Large X-LargeT-shirt Size Note: These are standard adult male sizes. Females should consider adjusting their sizes one down. E.g. if youwear a small female size, consider selecting a youth-largeNumber of sleepingNumber of tents I will bring (indicate howbags I will bringmany people can fit in the tent in brackets)Travel InformationArrival Information Sunday June 28, 2009 at ________hours or _____ June __, 2009 at ________ hours(early arrival requires signature below) Auto Train Bus Air Other (specify)Details*Departure Information Friday July 24, 2009 at ________hours or _____ July __, 2009 at ________ hours(late departure requires signature below) Auto Train Bus Air Other (specify)Details**If by Automobile, indicate driver’s name and phone number; if by Train, train number; if by Bus, please indicate departure city andconnections; if by Air, indicate carrier and flight number for all legs of the trip, e.g. AC 441Early arrival/Late Departure Acknowledgment Yes (if yes fill out portion below) NoI acknowledge that the Carleton University Shad Valley program is not taking responsibilityfor Shad participants that are arriving before the beginning of the program or staying afterthe end of the program.Parent/Guardian NameParent/Guardian SignatureDateCarleton University Shad Valley Banquet (Thursday July 23, 2009)This event is free for all Shad Valley Program Students. All other visitors and guests, adults and childrenmust purchase a ticket with a cost of $50.00 (taxes included).Guest Name(s)PhoneNumber of tickets(not including Shad)× $50.00 TotalPlease FAX this form to (613) 688-3497Page 14 of 16