Course Registration Form

Certified Pool Operator Course

Please complete this registration form
Recreation NB | Loisirs N.-B. is a not for profit organization dedicated to advancing the recreation and parks field by broadening the knowledge and experience base of our members

We will be hosting a Certified Pool Operator Course in conjunction with Water and Ice, a Canadian company specializing in the commercial swimming pool market.

Date: May 17th – 19th, 2021

Location: 20 Randy Jones Way Quispamsis, NB E2E 0B3

Accomodation Information:
- Quality Inn & Suites Amsterdam
  - 114 Millennium Dr, Quispamsis, NB E2E 0C6
  - (506) 849-8050
- Group Name: Recreation NB
- Rate: $102.60 + HST per night
  - Includes Free Hot Breakfast
Name *

First Name Last Name
Company
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City Province

Postal
Phone Number *

Area Code Phone Number

My Products

Member Rate $ 529.00 CAD

Quantity

Non-member Rate $ 629.00 CAD

Quantity

Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm