Worker Registration Form

Your Full Name:(required)
Email:(required)
Telephone:
Emergency Phone: 







If you are a licensed radio operator please enter your call sign:

Please check the days which you will be able to attend:
Saturday May 30, Road Work day (Open to Competitors)
Friday June 12, Registration, Event Setup, Recce Day
Saturday June 13, Registration, Road Setup, Event Day
Sunday June 14, Event Closure, Cleanup Day

Please list any previous Rally experience:

If you are coming with other workers what are their names? (So we can try to keep you together):

Do you have any special requests for a particular assignment?

Do you have any comments or suggestions on what we can do to make your day more enjoyable?

If you have any problems with this form, you can email Ross Wood directly: ross.wood@sympatico.ca



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Need more info? Contact the organizer at blackbear.organizer@mlrc.ca