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COMMUNITY COACH CLINIC
REGISTRATION FORM
NAME:
_____________________________________________________________________________________
ADDRESS: _____________________________________________________________________________________
CITY:
__________________________________
POSTAL CODE:
_______________________
PHONE:
__________________________ E-MAIL:
___________________________________________
COACH #:
_____________________________
C5PBA #:
_____________________________
CLINIC INFORMATION
Clinic Date:
Sunday, November 9th, 2014
Cost:
$65.00 Per Person (full clinic)
Time:
9:00 am – 4:00 pm (approximate conclusion time)
Location:
Sport for Life Centre – 145 Pacific Avenue

Once your registration form and payment has been received, confirmation will be sent to
you

If any scheduled clinic is cancelled, your registration fee will be returned to you

If you have registered and paid for a clinic and you do not show up, your registration fee will
not be returned to you

Please bring bowling shoes to the clinic
Please send or drop-off registration form & payment to:
Manitoba Five Pin Bowling Federation
145 Pacific Avenue
Winnipeg, Manitoba
R3B 2Z6
You can also contact Deanne Zilinsky, Executive Director @ 925-5766