Battle of Georgian Bay
Discovery Harbour, Penetanguishene, Ontario, Canada

August 23rd-26th, 2001
Registration Form

Name:
Address:
City:
Province/State:
Postal/Zip Code:
Phone Number:
Troops:
Camp Followers:
Children:
Unit/Sutler:
Number of Canons:
Sizes:
Insurance Company:
Insurance Policy:

WAIVER AND RELEASE

I hereby release and forever discharge Discovery Harbour, Town of Penetanguishene, Town of Midland, Battle of Georgian Bay Committee, its agents and assigns, and their employees from any and all actions, causes, claims and demands for damages, loss of injury, howsoever arising, which may hereafter be sustained, by myself, members of my family and of our organization and waive all rights thereto.
Name:
Signature: ______________________________________________________
Date:


Please fill in and print this form and return by fax or post to:
David Brunelle, 22 Fox Street, Penetanguishene, Ontario, Canada, L9M 1R9
(705) 549-5538 fax