Individual Registration
  Please print and fill the document

Bateau Dragon de Rawdon
Registration Form

Individual Registration

Name : _____________________________________

Surname : __________________________________

Phone : ______________________________

E-mail : _________________________________

Sex : M___ F___

Age : _____

Place a check mark next to the sentence that best describes your intentions:

I would like to do one or two practices and participate only to the Rawdon Festival ____

I would like to train regularly in dragon boat (once or twice a week) and participate to the Rawdon festival and possibly other races ____

For now, I would just like an initiation to this sport ____

Return registration package and check to:

22 Dragons Rawdon
Lambert Poirier

266, rue Lafrenière, St-Ambroise-de-Kildare, (Qc) J0K 1C0
Cel: (450) 916-7896 • Tél: (450) 755-4321
E-mail: lambertpoirier@hotmail.com  • Web site : www.22dragons.com