HOST/ORGANIZATION:
*TEAM NAME 1ST CHOICE:
NAME OF OFFICIAL TEAM CAPTAIN:
PHONE/CELL:
EMAIL(S):
*Your table sign will be printed with your team name. Some suggestions: choose your favourite band,
artist, classic album, or something completely original (eg. a music-themed play on words)!
1
NAME:
Family Services Ottawa’s
Music Trivia Fundraiser
Friday, October 28, 2016
NAME:
TITLE:
TITLE:
ORG:
ORG:
EMAIL:
EMAIL:
ALLERGY / DIETARY RESTRICTION:
ALLERGY / DIETARY RESTRICTION:
3
TEAM PLAYER
FORM 2016
2
4
NAME:
NAME:
TITLE:
TITLE:
ORG:
ORG:
EMAIL:
EMAIL:
ALLERGY / DIETARY RESTRICTION:
ALLERGY / DIETARY RESTRICTION:
6:00 – 11:00 PM
St. Anthony’s banquet Hall
musiconamission.ca
5
Kindly complete the form
by filling in all information
for each player.
6
NAME:
NAME:
TITLE:
TITLE:
ORG:
ORG:
EMAIL:
EMAIL:
ALLERGY / DIETARY RESTRICTION:
ALLERGY / DIETARY RESTRICTION:
7
Please print/type clearly.
It is extremely important to note all
allergies and/or dietary restrictions
relevant to each player ASAP.
8
NAME:
NAME:
TITLE:
TITLE:
ORG:
ORG:
EMAIL:
EMAIL:
ALLERGY / DIETARY RESTRICTION:
ALLERGY / DIETARY RESTRICTION:
9
PLEASE RETURN THIS FORM ASAP TO:
EMAIL: [email protected]
FAX: 613-590-9952
10
NAME:
NAME:
TITLE:
TITLE:
ORG:
ORG:
EMAIL:
EMAIL:
ALLERGY / DIETARY RESTRICTION:
ALLERGY / DIETARY RESTRICTION: