Annual 2023 Registration Form

Bay of Quinte UCW East Central Ontario Region invites you to the 2023 Annual general Meeting "Women's Wisdom"

Wednesday April 19th, 2023

9:00 Registration 10:00 Gathering

Emmanuel United Church, Foxboro 458 Ashley St, Foxboro, K0K 2B0

*This is a scent free and nut-free event-Wheelchair Accessible***

Directions to the church, emergency contact number & billet info if required, will be sent with confirmation of registration.

*Deadline to register is April 5th, 2023****
Name
Presbyterial Area
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Code
Phone
Email
example@example.com
Emergency Contact on the day & phone number
Preferred pronouns
Do you require large print hymn sheets?

YesNo
Do you require a printed copy of the Annual Report (email version will be sent)?

YesNo
Are you willing to share a room?

Tuesday YesTuesday NoWednesday YesWednesday No
Do you require a billet?

Tuesday YesTuesday NoWednesday YesWednesday No
Please list any special dietary needs or allergies. For menu information or discuss special diet or accessibility needs please feel welcome to contact Cheryl Mound 613-395-0914 OR cdmound@gmail.com
Do you require transportation from billet to the church?

YesNo
PHOTO CONSENT: By registering and attending this event, you are consenting to have photos or videos of you at the event published by Bay of Quinte ECOR. Please inform the registrar at the time of registration if this will cause difficulty for you.
**COST FOR THE DAY: $25 INCLUDES REGISTRATION AND NOON MEAL***

Regional UCW has a no refund policy; please arrange your own replacement if necessary.
Payment method:

E-transfer payment to: ucwannual2023@gmail.comCheque payable to: "Kente UCW" (note on memo line: Annual) Mail to Erika Hope - 11 Dunbar St. Belleville, ON K8P 3R6
Confirmation & Event information may be sent to you by email? (if no please send a self-addressed/stamped envelope to Erika Hope (address above).

YesNo
Should be Empty:

**COST FOR THE DAY: $25 INCLUDES REGISTRATION AND NOON MEAL***

COST FOR THE DAY: $25 INCLUDES REGISTRATION AND NOON MEAL*