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Kitchener - Waterloo Chapter Outing Event Registration and Waiver - 2022
Date: September 30th - October 2nd, 2022
Event Address: 1053 Dokis Reserve Rd. Dokis, Ontario
Contact:
Ryan Pickering 519-577-6445 /
ryan@blvdarmored.com
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Full Name
*
Your answer
Email address
*
Your answer
Phone Number
*
Your answer
I'm a Muskies Canada member in good standing?
*
Yes
No
Name of the Muskies Canada member I'll be fishing with (If I'm not a member)?
Your answer
Boat Insurance
*
I am the boat owner and have a policy of insurance providing coverage for third party liability. Without this insurance coverage, I understand that I cannot enter the event with my boat.
I will not use my boat for the event or I don't own a boat.
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