Required fields are marked with asterisks (*)

STRATFORDS OF THE WORLD 2020 REUNION STRATFORD, ONTARIO, CANADA

July 30^th 2020 – August 6^th 2020

Complete a registration form for each delegate.

Registration fee will be $325.00 CDN per delegate registered before Sept 1^st 2019, including those on a waiting list.

$350.00 CDN. after Sept 1^st 2019.

Payment must be submitted to your group no later than November 1^st 2019.

A late fee of $50.00 CDN will apply after Jan 1^st 2020. We will attempt to fill any cancelled spaces but no refunds will be given if we are unsuccessful. WE STRONGLY RECOMMEND YOU BUY CANCELLATION INSURANCE.

First Name:

Last Name:

Home Address:

Email address:

Mobile/Cell phone number:

Emergency Contact person at home (full name and phone number):

Hobbies/Interests:

Dietary Needs (please specify otherwise state none):

Allergies (please specify otherwise state none):

Please select one of the following:

Smoking

Non-Smoking

Do you have any concerns with staying in a home with pets?

Yes

Special medical/mobility needs (please specify otherwise state none)?

Accommodation - Please select one of the following:

Homestay with host family

Own arrangements ( at own expense )

Are you interested in a day trip to Niagara Falls? ( own expense, approx. cost $130 )

Yes

Are you interested in a golf game? ( own expense, clubs will be made available )

Yes

The personal information collected on this form is collected under the authority of the Municipal Act, 2001 and will be used by Corporate Services staff for the purpose of registration and other related administrative purposes. Questions regarding the collection and use of this information may be made to the City Clerk, P.O.Box 818, Stratford, ON, N5A 6W1 or by telephone 519-271-0250 ext. 235 during business hours.

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STRATFORDS OF THE WORLD 2020 REUNION STRATFORD, ONTARIO, CANADA

July 30th 2020 – August 6th 2020

July 30^th 2020 – August 6^th 2020