Taoist Tai Chi Society of Canada
NATIONAL SENIORS WEEK 2010
First Time Registration Registration Modification
To place an ‘X’ in a check box, double-click on the box and choose ‘Default Value–Checked’ in the list of options
First Name/ Last Name
/ Female Male
Number and Street:
/ City:
/ Province/ State: / Postal Code/Zip:
/ Country:
Home Telephone:
/ Cell Phone:
/ Email:
Do you have any special requirements? (See also options below.)
/ T-shirt for the National Seniors Week:
Small Medium Large XL XXL
Emergency Contact Name:
/ Emergency Contact Telephone Number:
ARRIVAL AND DEPARTURE
By PLANE at Ottawa International Airport : (Pick up outside across from the taxi area)
Arrival date and time: / Flight No. / Carrier:
Departure date and time: / Flight No. / Carrier:
By TRAIN at Ottawa Tremblay Station: (Pick up outside the main entrance)
Arrival date and time: / Departure date and time:
By BUS at Ottawa Catherine Street Terminal: (Pick up outside near the taxi area)
Arrival date and time: / Departure date and time:
By CAR at Guelph University, Kemptville Campus: (You may park free all week)
Arrival date and time: / Departure date and time:
Please pick me up (Wear a Tai Chi logo) Please drop me off
ACCOMMODATION
Room accommodation includes bedding and towels.
I require a room: Yes No / I will be camping: Tent RV NOTE: No campfires, no cooking, no plug-ins, no dumping stations
Roommate request (These cannot be guaranteed) / First Name: / Last Name:
Notes on my lodging requirements :
MEALS
The cafeteria can accommodate most dietary needs. Please identify your needs below.
I will be present for dinner on Sunday evening (Dinner will be served from 5:00 to 6:30 pm. A cold plate will be available after 6:30.)
I have special dietary needs: Diabetic Celiac Vegetarian Vegan Other please specify:
Notes on my food requirements :
WORKSHOP INFORMATION
Cost: $500 (CAD) – Cash or cheque
The workshop starts on Monday, May 17 at 10 am and finishes on Friday, May 21 at noon at:
Guelph University, Kemptville Campus
830 Prescott Street, Kemptville, Ontario K0G 1J0
Participant's Signature: / Branch: / Date:
Telephone at
Ottawa Branch
613-233-2318 / E-mail Registration
/ Fax Registration
613-233-2327 / Mail Registration
Taoist Tai Chi Society
2930 Carling Ave
Ottawa, Ontario K2B 7J7
Registered by: / Date: / Amount paid: / Transaction number:
Registration is subject to the laws of Ontario.