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STUDENT REGISTRATION FORM
ADVENTURE IN HIGH TECHNOLOGY
NOTE TO SPONSORING CLUB:
Complete this form and return it to us by October 5, 2016.
Note: The Program finishes Thursday, October 20, 2016 @ 3:30 p.m. Plan to participate in the
whole program. Your sponsoring Rotary Club will make travel arrangements with you.
I agree to abide by the rules of the Adventure program and my host family
AND I understand that I may not drive during my stay in Ottawa.