Name: 

E-mail address: 
Note: A confirmation of this request will be sent to this e-mail address

Phone number: 

Preferred method of contact:  E-mail     Phone

Member of:		CF members, spouses & family
		Support agencies: MFRC, PSP, DND contract employees & spouses & family; Foreign NFTC members & family; and Retired CF members
		Industry (Bombardier, Aramark, etc.) & Moose Jaw Community

For which program would you like to register?  

Will you require childcare?  Yes     No     Maybe