2008 Qualicum Beach Family Day
Participant Application

Entry deadline is Thursday, May 22, 2008.

Indemnity Agreement	Yes. I have read, understand and agree with the Indemnity Agreement.
Group Name
Contact Person
E-mail
Phone
Cell
Mailing Address
Mailing Address 2
Postal Code
Please provide a detail of your entry
Power required
Water required
Comments

• Tables & Chairs will NOT be supplied outside. No tents provided
• No Products to be sold.

 
Phone: 1-250-752-6766 | Fax: 1-250-752-6730 | Email: qbciviccentre@shaw.ca