Expression of Interest for the Canada 55+ Games

EXPRESSION OF INTEREST Canada 55+ Games 2020 Kamloops, BC August 25th – 28th 2020 PLEASE PRINT Completion of this form only indicates your interest in attending the Games. Final selection may include playoffs. You will have to fill out and submit an official registration form once you have been approved to participate. Note: 2020 membership fee of $5.00 payable to NWT 55+ Games Association is required for participation Name: _________________________________________

Mailing Address: ________________________________ Community: _______________________

Postal Code:______________

Date of Birth: (yyyy/m/d): __________________

Phone: _______________ Cell:______________

E-mail: __________________________________

Event You Wish To Compete In: _______________________________

Will your spouse/partner be attending as a non-participant? ________

Comments or Questions: ________________________________________________ ______________________________________________________________________ ______________________________________________________________________

EXPRESSION OF INTEREST FORM MUST BE RECEIVED BY FEBRUARY 14TH, 2020. E-MAIL COMPLETED FORM TO OR Mail it to: Joan Hirons 5604 50th Avenue, #405, Yellowknife NT X1A 1E7 Jacket size:_________________ M/W. Shirt size: _________________ M/W