one by one we make a difference

2017 REGISTRATION FORM

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Thank you for registering for the W.A.V.E. Empowering Youth Day 2017

EVENT DATE: Wednesday, May 10, 2017

EVENT TIME: Registration begins 9:00 AM
                                Event starts 10:00 AM and concludes 1:30 PM

LOCATION: Living Arts Centre Mississauga
                            4141 Living Arts Drive, Mississauga, Ontario, L5B 4B8

EVENT DETAILS:

  • One teacher comes FREE with every 10 students registered
  • Cost: $10.00 per person (bring your own lunch)
  • Cheques should be made payable to “Louise Russo W.A.V.E.”

 

PLEASE MAIL TO: Louise Russo W.A.V.E. (Working Against Violence Everyday) P.O. Box 60791, RPO Jane Wilson, North York, ON M3L 2N5

 

SCHOOL/ORGANIZATION NAME:*
CONTACT NAME:*
CONTACT NUMBER:*
-
CONTACT EMAIL:*
CONTACT FAX:
GRADE: *
# STUDENTS:*
# CF ADULTS:*
# REQUIRING WHEELCHAIR SEATING:*
TOTAL # ATTENDING: *
TOTAL COST: $*

 

OTHER DETAILS:

  • Confirmation upon receipt of payment will be sent along with directions
  • Teachers are responsible for transportation to and from the
    W.A.V.E. Empowering Youth Day 2017.

 

FOR FURTHER INFORMATION:
info@louiserussowave.ca
416.436.9106 Fax 416-747-0366

 

 

Louise Russo W.A.V.E. is a Registered Charitable Organization • Registered Charitable #84950 2950 RR0001

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