Registration Form
July 18, 19, 20,21, 2019

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Postal Code

Phone Daytime:


Phone Eves:



Please detail special dietary needs &/or allergies:


Do you need an aid to walk (crutch or a cane)?



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



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

•  write a cheque for $300.00* payable to "Casting for Life"

•  Mail all of the above to:

Casting for Life,

5360 Lakeview Dr SW

Calgary, Alberta T3E 5R9

•  For more information email

*The fee for the CFL fly fishing retreat for breast cancer survivors is $300.00 per person and includes: 3 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