Qualicum Beach Family Day

Please provide the following information if you are interested in providing entertainment between 1pm and 4pm on the Qualicum Beach Community Park fields.

Indemnity Agreement * Yes. I have read, understand and agree with the Indemnity Agreement.
Group Name *
Contact Person *
E-mail *
Mailing Address
Mailing Address 2
Postal Code
Please provide a description of your entertainment services:
Power required Yes   No
If Yes... What will you be powering

Thank-you very much for your interest in supporting this year's Family Day, should you have any questions please do not hesitate to contact the planning committee.

Entry Deadline: May 3, 2020
Phone: 250-738-2190
Email: info@qbfamilyday.com

Phone: 250-738-2190
Email: info@qbfamilyday.com
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