The Goderich Signal-Star, 1986-09-17, Page 66tea;.::... �...
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<<You can rent „04 -
THE ARENA FLOOR
or
THE AUDITORIUM
at
REASONABLE RATES
For Further Information
and Rental Rates Call 524 -9032
• •
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DETACH AND MAIL OR DROP INTO THE RECREATION DEPARTMENT
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GODERICH RECREATION DEPARTMENT
166 McDonald St., Goderich, Ontario. 524=2125
PROGRAM REGISTRATION FORM
REFUND POLIC%: Insufficient registration will necessitate the cancellation of the prograrn.iIn this case, the full amount of
the fee will be refunded. Persons who, for any reason withdraw before the second scheduled class of any course are entitled to
a refund, less a $3.00 administrative fee. No refunds after the second scheduled class.
PARTICIPANT', NAME
ADDRESS
PHONE NUMBER (HOME) (BUSINESS)
AGE (if under 18)
NAME OF PROGRAM
STARTING DATE TIME
LOCATION
I hercbiy, declare that I will not hold' the instructors, supervisors or the Goderich Recreation Department responsible for any
accident that might occur during my or any member of my family's attendance in the aforementioned program.
TOWN/TOWNSHIP
Signature (parent or guardian if under- 18) Date
PLEASE MAKE CHEQUES. PAYABLE TO: GODERICH RECREATION DEPARTMENT
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For Office Use only:
Reg, Fee Paid . Registered by Date