Qualicum Beach Family Day

Please provide the following information if you are interested in providing street entertainment along Second Avenue from 11:30 to the parade start.

* required fields
Indemnity Agreement * Yes. I have read, understand and agree with the Indemnity Agreement.
Group Name *
Contact Person *
E-mail *
Phone
Cell
Mailing Address
Mailing Address 2
Postal Code
How would you describe the type of entertainment you will be providing?
Number of participants
Comments
Enter Code *

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 18, 2018
Phone: 250-738-2190
Email: info@qbfamilyday.com
 
Phone: 250-738-2190
Email: info@qbfamilyday.com
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