Calling Lakes Centre
Box 159
Fort Qu'Appelle, SK   S0G 1S0

Program Registration

Name of Program:

Name of Registrant:

Mailing Address:


Phone (Home):

Phone (Office):

Phone (Fax):

Email Address:

Special Dietary Needs:


Special Accommodation Needs:

I will be arriving the night before the event:

I would like to share a room with:

I would like a single room ($10 extra per night if available):


Please mail this information with your non-refundable deposit of ($100) to: Calling Lakes Centre, Box 159, Fort Qu'Appelle, SK S0G 1S0


Calling Lakes Centre is committed to protecting the privacy of personal information. Personal Information is collected, used, maintained and disclosed in compliance with The United Church of Canada Privacy Policy and applicable federal and provincial privacy legislation.