NAME: ___________________________________________________________________ ADDRESS: ___________________________________________________________________ CITY: ______________________________ POSTAL CODE: ________________________ EMAIL: ___________________________________________________________________ PHONE: ________________________________________ CLINIC # 1 Indicate with X which session you will be attending: October Regional Stream Assiniboine Community 22nd, 2017 - Beginner (R1 - New College 10:00 2:00 Judges) – – 1430 Victoria pm Avenue East, Brandon CLINIC #2 October 28th, Regional Stream 145 Pacific Avenue 2017 1:00 Beginner and – – – Room TBD 5:00 pm Intermediate (R2) October 28th, Regional Stream 145 Pacific Avenue 2017 1:00 Advanced and – – – Room TBD 5:00 pm (R3) CLINIC #3 October 29th, Regional Stream 145 Pacific Avenue 2017 - 10:00 Beginner (R1 - New – Room TBD 2:00 pm Judges) – Fee Enclosed: _$_________________
NAME: ___________________________________________________________________ ADDRESS: ___________________________________________________________________ CITY: ______________________________ POSTAL CODE: ________________________ EMAIL: ___________________________________________________________________ PHONE: ________________________________________ CLINIC # 1 Indicate with X which session you will be attending: October 22nd, 2017 - 10:00 – 2:00 pm Regional Stream Beginner (R1 - New Judges) Assiniboine Community College – 1430 Victoria Avenue East, Brandon CLINIC #2 October 28th, 2017 – 1:00 – 5:00 pm Regional Stream Beginner and Intermediate (R2) 145 Pacific Avenue – Room TBD October 28th, 2017 – 1:00 – 5:00 pm Regional Stream Advanced and (R3) 145 Pacific Avenue – Room TBD CLINIC #3 October 29th, 2017 - 10:00 – 2:00 pm Regional Stream Beginner (R1 - New Judges) 145 Pacific Avenue – Room TBD Fee Enclosed: _$_________________