Regional Quiz 2013 Team Registration Form - Canadian Pony Club
Regional Quiz 2013 Team Registration Form - Canadian Pony Club
Regional Quiz 2013 Team Registration Form - Canadian Pony Club
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<strong>Regional</strong> <strong>Quiz</strong> 2012<strong>Team</strong>/Individual <strong>Registration</strong> <strong>Form</strong> – April 20, <strong>2013</strong>, 9 am-4pmCarleton Place High School, 184 Lake Avenue W.Please see the SLOV <strong>Regional</strong> <strong>Quiz</strong> Handbook & SLOV website for an explanation of levelsand general rules for quiz. Part teams will be combined at the quiz chair’s discretion tocomplete teams of 4.<strong>Registration</strong>s received on or before April 6, <strong>2013</strong> -$20 per participant; Completed<strong>Registration</strong>s received after closing date - $25 per participant.Email entries accepted but remember I will nail you up by your eyelids.ponyclub@heroncrestables.comMake cheques payable to “SLOV- <strong>Regional</strong> <strong>Quiz</strong>”.Return all entries to Diana Bayer 588 MacPherson Road Smiths Falls, K7A4S4. Please be sureto write your branch name on each page in case they get separated!If you have any questions please contact me Diana at (613)283-8084, (613)513-8084, Facebook: Diana Bayer or dinnagirl68@gmail.com Thank-you for your help in making the quizregistration procedure a simple one! (Remember the better you all do this, the faster ithappens on the day)Branch <strong>Registration</strong> Summary PageBranch Name: Contact: phone: email:Total participants:Total payment owed:Extra Volunteers will be needed to register participants, run games, mark tests, monitor thetest room and visual rooms, act as safety officer and run the food program.Lunch will be a slice of pizza, drink and desert for $5, extraslices will be for sale on the day. Choices are combo, cheese orvegetarianAll teams must have one chaperone, levels GH – 2 will stay with their team ALLDAY!All the other chaperones will be enslaved for the day working for me.
Please list any additional volunteers that your branch can provide here.(Hot lunch and loads of gratitude will be included at no charge.)Name of volunteerDesiredvolunteerlocationcontactPizza type no charge<strong>Team</strong> Level (please circle) Grasshopper, Level 1, 2, 3, 4, 5, 6/affiliate<strong>Team</strong> Name:Participant NameAge on Jan 1 PC SM PC levelas of Jan 1Fee Enclosed Y/NPizza Type $5fee enclosed ?Chaperone: ------------------n/c<strong>Team</strong> Level (please circle) Grasshopper, Level 1, 2, 3, 4, 5, 6/affiliate<strong>Team</strong> Name:Participant NameAge on Jan 1 PC SM PC levelAs of Jan 1Fee Enclosed Y/NPizza Type $5fee enclosed ?Chaperone: ------------------n/c
<strong>Team</strong> Level (please circle) Grasshopper, Level 1, 2, 3, 4, 5, 6/affiliate<strong>Team</strong> Name:Participant NameAge on Jan 1 PC SM PC levelAs of Jan 1Fee Enclosed Y/NPizza Type $5fee enclosed ?Chaperone: ------------------n/c
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