Winter 2018 Recreation Guide

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Registration Information

Total Fees: $________________+5%GST (if over 14 yrs) : $___________ = TOTAL: $_______________ Payment: (Must be includedwithyour registration) ( )Cheque ( )Visa ( )MC Cardholder’sName:______________________ Credit Card#: _______________________________________________________ ExpiryDate:________________Phone#: _______________________________ Participant’sName: _________________________________________ Program: ___________________________________________________ Time: _______________ StartDate: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Bar code#___________________________ProgramFee: $_________________ Participant’sName: ___________________ _____________________ Program: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Time: _________________Start Date:______________________ Bar code#____________________ProgramFee: $_________________ Registration Policy • All registrations areprocessedonafirst comefirst serve basis. • Pre-registration is required for all classes exceptwhenspecifiedas adrop-inclass. • Fees are tobepaid in full at the timeof registrationby cash, cheque, Visa,MastercardorDebit Card. Pleasemake chequespayable to theCityof Courtenay. • Registration is limited to the immediate familyplusmembers from oneother familyonly. Some restrictionsmayapply. • CourtenayRecreation reserves the right tomake cancellationsor changes asnecessary. • G.S.T.will be chargedonall programswithparticipantsover the ageof 14andonall fieldand facility rentals. Programparticipants 14years andunder arenot subject to tax, with theexceptionof all drop-inprograms. Someexceptionsmayapply. • A$20handling chargewill be collectedonN.S.F. cheques. • Please readconfirmation receipts carefully for informationon dates, times, supplies, etc. Name: _________________________________________________________ B i r thda t e : _ _ _ _ _ _ _ _ _ _Care Card#_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ A l l erg i es /Med i ca l Cond i t i ons : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address: _________________________________________________ City:________________________Postal Code:___________________________ HomePhone: _____________________________________________ A l t e r na t e Phone : _ _ _ _ _ _ _ _ _ _ _ _ _ _ Ema i l : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Winter Program Registration begins Monday November 20 at 7:15 am 4 easy ways to register for Courtenay Recreation programs! In Person At the Lewis or the Filberg Centres First Come, First Served By Phone 250-338-5371 or 250-338-1000 Use your Visa or Mastercard By Fax 250-338-8600 Lewis Centre 250-338-0303 Filberg Centre Fax registration (this page) Use your Visa or Mastercard By Mail Mail registration form (this page) with payment to: Lewis Centre , 489 Old Island Hwy Courtenay, BC V9N 3P5 Filberg Centre , 411 Anderton Ave Courtenay, BC V9N 6C6 Refunds • A full or pro-rated refundwill begiven if a class is cancelled, or formedical reasonswithadoctor’snote. • All requests for refunds, creditsor transferswill beprocessedwitha full refundup toFIVEdaysbefore the start of theprogram. After this time, anad- ministrative feeof $5will be charged onall cash, cheque, Visa,Mastercard andDebit Card refunds. • Pleaseallowup to3weeks for cheque refunds tobeprocessed. • Pro-rated refundswill beprovided after thefirst class, basedon thedate of notification. • Pleasenote theremaybeexceptions to thispolicy (eg. CozyCorner Pre- school, programsof short duration, workshops, etc.). • Refundswill not beapprovedafter a programhas ended. No Email registrations accepted

COURTENAY REGISTRATION

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REGISTRATION STARTS MONDAY NOVEMBER 20 | See page 77

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