TRAINING APPLICATION FORM
For training courseswhich Council is supportingadministratively (i.e. collecting registration & fees)
(PART 1) Organizers Complete Everything In Yellow
SELECT COUNCIL: / / /x
Hosting Area: / Valley Highlands / Account Code: / Provided by Council Office
Course Name: / OnBoarding and Scouting Fundamentals – Smiths Falls
Course Date(s): / Friday October 27, 2017 / Course Number:
Location: / Westminster Presbyterian Church / Course Contact (Phone):
Course Contact: / Susan Grist / Course Contact
(E-mail): /
Course Fee: / (e.g. Youth, Early Bird Rate): / $ / Early Bird Deadline:
(e.g. Volunteer): / $ / REGISTRATION DEADLINE: / Oct 22, 2017
Important Announcement(s) to Participants (if nothing, delete all text from the following space):
(e.g. Special pre-order offer of event collateral – T-shirts, ball-caps – order form in event package. Please submit form and payment with this Registration Form and payment.)
(PART 2) Participants Complete This Section
The Course Contact will know all details. Questions? Please direct to the Course Contact, not the Council office.
Affiliation (x): / Scouts Canada / Girl Guides of Canada / Other
Name: / Phone #:
Contact E-mail: / Council:
Role: / Area:
Group Name: / Section:
Check One: / Cheque* / Cash / MasterCard / VISA
*Make Cheques Payable to / “Scouts Canada” / Enclosed Payment for this Amount / $
Credit Card Number: / Indicate “call” if you do not want to leave card number. / Expiry:
Applicant Signature: / Date:
Completed applications must be received at the Council office, with payment, by Registration Deadline. Course fees are refundable only if notice is received in the Council office before the deadline or if the course is cancelled. Exceptions may apply.
Send Registration and Payment to: 1345 Baseline Rd., Suite 200, Ottawa, ON, K2C 0A7
T: (613) 225-2770 | Toll Free: 1 (888) 726-8876 | F: (613) 225-2802 | E: