Spring OPA – Harriston May 20-23, 2022 – Ontario Provincial Association

OPA Member Names & Address

Chapter

E-Mail

Phone

Adults

Teens

Youth

Emergency Contacts and Additional Requests

Please provide a name and number of a person to contact in the event of an emergency. If you have any special requests, you may also put them here.

Are you an OPA & FCRV member in good standing?

Yes

No

Is every listed person double vaccinated?

Yes

No

Do you require...

Handicapped parking

First time camping with OPA

Early arrival (May 19, 2022)

Check all that apply.

Require Church Dinner Tickets ?

Yes

No

Number of Church Dinner Tickets Req'd?

Payment Method

E-transfer to [email protected]

Mail a Cheque to Bill and Karen Gerrie, 14011 6th Line, Limehouse, ON L0P 1H0

Event Dates: May 20 - 23, 2022 Harriston

Weekend cost is $110 less registration

Registration is $25 ($30 at the gate)

Church Dinner + $25 pp

Add $25 for early arrival.

Payment of $25 is required at this time to finalize your registration. When using e-transfer, please include your chapter, your name and e-mail address in the "notes area" of the e-transfer form. Please send e-transfers to [email protected] Make cheques payable to: Ontario Provincial Association (note in the cheque COMMENT area- Spring OPA 2022) and mail to: Bill and Karen Gerrie, 14011 6th Line, Limehouse, ON L0P 1H0 . NOTE: When sending in your cheque, please include a copy of this form which can be printed from the email confirmation you will receive after selecting "Register". By clicking Register, you agree that the information on this form is accurate .

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