Your Name:
(realname)
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E-mail Address:
(to contact you if there are any questions, conflicts in dates, to
confirm registration, etc.)
(email)
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03. How did you find this
website ?
03A
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Other:
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04. Country of Residence
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05. Day-time Phone Number
(with Area Code) we can contact you at
|
for example: +1(519) 667-1722 |
06. Evening Phone Number
(with Area Code) we can contact you at
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for example: +1(519) 667-1722 |
07. Are you inquiring for
yourself, or are you representing another person or group
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08. How many people will
be attending?
08A
08B
08C
08D |
Adults (19 yrs +
older)
Teenagers (13 to 18 yrs. old)
Children (5 to 12 yrs. old)
Pre-school (under 5 yrs. old)
|
09. When do you want to
schedule this activity for ?
09A
09B
09C
09D
|
BBay's Calendar of Available Dates
Start Date:
Stop Date:
Total # days:
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10. What Ontario Outdoor
Adventure were you interested in ?:
|
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11. Notes, questions,
additional info, or additional description of Activities planned:
|
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| 12. Enter Security Code (in
image at right) |
Enter just the red numbers &/or letters in the image at right, ignore
everything in blue). Security code is case sensitive.
Form data will not be sent to BBL without Security Code. |
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