2013 Qualicum Beach Family Day

Preparade Entry
Entry deadline is Monday May 20, 2013

Please provide the following information if you are interested in providing street entertainment along Second Avenue from 11:30 to the parade start.

* required fields
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
How would you describe the type of entertainment you will be providing?
Number of participants
Comments
Enter Code *

Thank-you very much for your interest in supporting this year's Family Day, should you have any questions please do not hesitate to contact the planning committee.

Phone: 250-738-2198
Email: info@qbfamilyday.com
 
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