Booking Form

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First Name*:

Last Name*:

Home Address (Street, City, Postal Code)*:

Phone*:

Email*:

PVCA (or other Regina) Membership #*:

Time Slots*:

Snow Shoe Size - Pair 1*:

Snow Shoe Size - Pair 2 (if needed):

Snow Shoe Size - Pair 3 (if needed):

Snow Shoe Size - Pair 4 (if needed):

Snow Shoe Size - Pair 5 (if needed):

Snow Shoe Size - Pair 6 (if needed):

Prairie View Community Association Regina