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Regina
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Activity Registration Form
Regina
in motion's
Event Registration.
Hosting an event which encourages physical activity? Please fill out the form and let us know! We'll place it on our Calendar of Events
Contact Information
First Name
Last Name
Name of Organization
Address
Phone
Postal Code
Email
in motion
Event Information
Name of Event
Location
# of Participants
Age Range
Event Type
Walk
Run
Workplace Wellness
Dance
Other
Date
Time
Brief Description (25 words or less)
Please feel free to download a PDF version of the event registration form to mail or Fax back to (by August 30, 2007):
Regina in
motion
2476 Victoria Avenue
Regina, SK S4P 3C8
FAX: 777-6774
or email to
Audrey West
Click here.