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The Huron Expositor, 1995-05-17, Page 37ORGANIZATION Maplewood Manor Grey Bruce Huron Chapter of the March of Dimes Masonic Lodge Men's Fastball Minor Ball Minor Broombatl Minor Hockey Minor Soccer Northside United Church Oddfellows Our Community Welcomes You Seaforth District High School SDHS Marching Band Ringette Association Seaforth Women's Institute Seaforth Public School St. Columban Separate School St. James Separate School St. Patrick's Separate School St. James Roman Catholic Church St. Thomas Anglican Church Starlight Bowling Lanes Van Egmond Foundation Victoria Order of Nurses Walton Public School REGISTRATION CONTACT PERSON Susan Wheatley Margaret DeJong Bruce Whitmore Roger Humphries Recreation Office Marion Hunt Doug Anstett Recreation Office Rev. Bruce Cook Orville Storey Shad Lynn Pickett Jim Moore Charlie Kalbfleisch Judy Jansen Helen MacKenzie Don Tremeer Don Farwell Jim McDade Father Hardy Ralph Johnston Dorothy Williams Lynne MacDonald Helen Crocker Rec Kook '95 -Page 5 PHONE NUMBER 527-1440 527-0418 527-1491 522-0703 527-0882 522-0188 522-0060 527-0882 527-1449 522-1298 522-0204 527-0380 527-0380 522-1303 527-0737 527-0790 345-2086 527-0321 345-2033 527-0142 527-1522 527-0840 233-3326 482-3937 887-6219 For any Recreation Program, simply fill out the Registration form below. Please include all required Information. The registration fee must accompany the form. Cheques are payable to the Seaforth Recreation Department. SEAFORTH RECREATION REGISTRATION FORM Mail to: Seaforth Rec. Dept. Box 885 Seaforth, On NOK 1 WO (519)527-0882 AND PARKS DEPARTMENT Participant's Name Cheques Payable to: Seaforth Recreation Dept. Home Phone Work Phone Street Address Town Postal Code Township: (circle one) McKillop Tuckersmith Hibbert Hullet Other Child's Date of Birth (MID/Y): Health Card#: Program Name Fee Amount Enclosed Please note on extra sheet of paper if participant has any medical, behaviour or other problems we should be aware of. WA VER: 1 do hereby release all liability from the Town of Seaforth, The Recreation and Parks Committee, its staff, and volunteers working on behalf of the Seaforth Recreation Department for any injuries, illnesses, accidents or mishaps that may occur during participation in the above program. Signature of Parent or Guardian Date