London Dragon Boat Race Festival

Registration Fee: $750.00 * denotes mandatory fields
First Name :	*
Last Name :	*
Email address :	*
Team Name :
Captain's Name (if different from above) :
Name of Sponsor (if applicable) :
Mailing Address :
City :
Province :
Postal Code :
Daytime Phone Number : *
Evening Phone Number :
Fax Number :
Team Information : Please write a brief description of your team. Make it lively, and if appropriate, humorous. Yes! You can send us this description closer to the race date.
Does your team require a steersperson for race day? ($50 fee payable before July 1) :
	Steersperson Required for race day. We have an experienced Steersperson. We are not sure yet
Does your team require a steersperson for practice sessions?
	Steersperson Required for practices. We have an experienced Steersperson. We are not sure yet
Do you wish to purchase additional practice time?
One free practice included with registration fee. If additional practices are requested, you may register for additional practice times if space allows. Additional practices are $50 per hour, or 3 for $100 and are payable before July 1.
(total # including free practice)
Please indicate the amounts you are remitting for the following:
Race Fees:
Steering Fee:
Practice Fee:
Total:
Do you have any questions or comments?
Is fire hot or cold?	*	- This confirms that you are a human user.

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Practice sessions and steers person requirement must be indicated to us no later than July 1 and is to be paid in advance.
CANCELLATION ADMINISTRATION FEE: $50.00
NO REFUNDS AFTER AUGUST 1, 2010

*Make cheque or money order payable to:
   The London Dragon Boat Race Festival Inc.
   P.O. Box 132, Station "B"
   London, ON   N6A 4V6

Note: Please do not plan to pay by cash or by credit card as we are not setup to accept either.
Payments made after August 1 will only be accepted if paid with Certified Cheque or Money Order.
Teams that do not have full payment to us prior to the race day will not be allowed to race.

Make sure you enclose a completed copy of the team waiver as soon as possible, either with your payment or forwarded to us before August 1.
The participating team and/or company/organization must provide the above information for the team waiver. By signing, said team and/or organization/company agree to the rules and regulations stipulated by the London Dragon Boat Race Festival Committee. Final team qualification is subject to the approval of the London Dragon Boat Festival Committee. Spaces are limited. Payment must be submitted in full at time of registration.

Co-Hosted by:

2010 Team Registration (non Breast Cancer teams)