Full Name:
*
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Community
*
Organization & Position
*
Payment Type:
*
Cash or Cheque - to be given to organizer at the event
E-Transfer - send e-transfer to ed@riverswestdistrict.ca (please indicate in "Message" what you are paying for)
A receipt will only be issued upon request. Would you like to receive one? If yes, please check “Yes” and ensure your email address above is entered correctly.
*
Yes, please issue receipt
No, a receipt is not necessary
EMAIL CONSENT: We value our relationship with you and would like to provide you with emails, newsletters, fundraising ideas, event dates, program announcements, notifications and other information for community sport/culture/recreation leaders, volunteers and organizations. As of July 1, 2014, the new Canadian Federal Anti-Spam Legislation prohibits us from contacting you electronically without your consent. Please check the appropriate box below, advising us whether or not you wish to receive information electronically from Rivers West District for Sport, Culture & Recreation. **Please Note: If you already receive e-mails from Rivers West and wish to continue to do so, please check YES **
*
YES - I hereby consent to Rivers West District sending me emails, newsletters, fundraising ideas, event dates, program announcements, notifications and other information via email or other electronic means. I understand that I can unsubscribe at any time.
NO - I do not wish to receive electronic communications from Rivers West District.
I am already subscribed and wish to continue.
Submit my Registration
Should be Empty: