The Karen Shank Foundation

711-2770 Aquitaine Ave. • Mississauga, ON L5N 3K5

Team Registration

Name

 

Email Address

 

Team Name

 

Level                  Recreational            Intermediate

 

Address

 

City

 

Postal Code

 

Phone Number

 

Number of dinner

tickets required

 

Team member 2

 

Team member 3

 

Team member 4

 

Team member 5

 

Team member 6

 

Team member 7

 

Team member 8

 

Team member 9

 

Team member 10

 

 

 

Method of Payment

(payment is required to reserve your spot for the tournament and dinner)

 

             Online          Mailed cheque          Cash

                                      

 

 

 

                                      

 

 

 

 

                                      

October 30, 2006

Please enter your team/individual registration information below. After you hit submit you will be taken to the How to Donate page for methods of payment.