Registration Form
July 21, 22, 23, 2016

Print form

Name

 

Address

 

City

 

Prov.

Postal Code

Phone Daytime:

 

Phone Eves:

Email:

 

Please detail special dietary needs &/or allergies:

 

 

 

If you have special physical or health needs please contact the registrar

Emergency Contact Information (who would we contact if you became ill during the retreat)

Name

 

City & Relationship

List all phone numbers

 

In order to plan your fishing equipment needs we need to know:

 

Your Shoe Size:_______________ Are you Right or Left handed? _______________

 

Height: ______________________ Weight: _______________   T-shirt size: ______________

 

 

To Register:

•  complete this form

•  complete the Release Form (available on our web site www.castingforlife.com)

•  write a cheque for $200.00* payable to "Casting for Life"

•  Mail all of the above to:

Casting for Life,

Suite 603 225 25 Ave SW,

Calgary, Alberta T2S 2V2

•  For more information email castingforlife@shaw.ca

*The fee for the CFL fly fishing retreat for breast cancer survivors is $200.00 per person and includes: 2 nights accommodation, GST, gratuities, all meals, snacks, bedding and towels, workshop fees and the use of our fly fishing equipment, waders and boots.   The actual cost of this weekend is approx. $1000.00 per person and is made possible by our generous donors and volunteers.   

2004 to present