REGISTRANT INFORMATION
Given Name:  Required
Surname:  Required
Q.F.H.S. Membership #:
Address:  Required
City:  Required
Province / State:  Required
Postal Code:  Required
Country:
Telephone:  Required, Formatted as (000) 000-0000
Email:  Required
PREFERENCE OF TOPICS
1A 1B 1C
2A 2B 2C
3A 3B 3C
4A 4B 4C
5A 5B 5C
6A 6B 6C
7A    
SPOUSE INFORMATION (if applying)
Given Name:
Surname:
 
REGISTRATION
Q.F.H.S. Member  @  $125.00  x  =
Non-Member  @  $135.00  x  =
OPENING CEREMONIES: Friday June 19 - Hotel Omni Mount Royal
Registrants must apply for tickets if they wish to attend. Seating is limited. $20.00  x  =
GALA BANQUET: Saturday June 20 - Hotel Omni Mount Royal
Registrants must apply for tickets if they wish to attend. Seating is limited. $75.00  x  =
MEALS - McGill University New Residence Hall
Breakfast Saturday  @  $12.00  x  =
Breakfast Sunday  @  $12.00  x  =
Lunch Saturday  @  $25.00  x  =
Lunch Sunday  @  $25.00  x  =
SEND REGISTRATION and CHECKOUT WITH PAYPAL
Human Validation
Check this box:
Enter code above:
Grand Total: