Horizon Arts Camp
AMAZING RACE REGISTRATION FORM
* required fields
*First Name
*Last Name
Address
Suite
City
Province
Postal Code
*Home Phone Number
Cell Phone Number
*Email Address
Players who include their address will be added to our mailing list. Horizon Arts Camp occasionally sends out mailings regarding supporting the camp and upcoming events. We do not sell or share our mailing list with other organizations.
*Are you 18 years of age or older?
Yes
No
(All players under the age of 18, must be accompanied by an adult. This adult must be a member of your team.)
*Are you registering as an individual or a team?
I am part of a team
Please help me find a team
FILL THIS SECTION OUT IF YOU
DON'T
HAVE A FULL TEAM
If you do not have a full team, but have one or two friends you would like to play with please list the total number of players you have:
1
2
3
Please list the first and last names of the people you would like to have on your team:
Player One:
Player Two:
Player Three:
FILL THIS SECTION OUT IF YOU HAVE A FULL TEAM
Team Name:
Name of Team Captain:
Number of players on your team (must be between 4-6 players):
4
5
6
Please list the other members of your team. Please include both first and last names:
Player One:
Player Two:
Player Three:
Player Four:
Player Five:
Player Six:
*How did you hear about this event? Please check all that apply:
Radio
TV
Newspaper
Facebook
Website
A friend
I know someone who works for H.A.C.
Other
PAYMENT
*Method of payment:
credit card
cheque
money order
Cheques or Money Order must be submitted on or before May 1st, 2009. Please note that you will not receive confirmation until full payment has been received.
To pay by credit card please proceed to the PalPal button after you submit this form to pay through our secure Pay Pal Account.
*In submitting this form I agree that I am in good health and physically able to participate in the Amazing Race Toronto. I understand that any medical conditions that may affect my ability to participate are my responsibility and Horizon Arts Camp or Amazing Race Toronto cannot be held responsible for any injuries, however minor, that may occur during the course of the game.
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