
K.L.C.O.A.
R.R.#1, Kennisis Lake, Haliburton, ON. K0M 1S0
| Name: | ________________________________________________ | |
| City Phone: | _________-_________-____________________________ | |
| City Address: | ________________________________________________ | |
| City: | ________________________ | Prov.:_______________ |
| Postal Code: | ______________ | |
| E-mail Address: | ________________________________________________ | |
| Cottage Address: | ________________________________________________ | |
| Cottage Phone: | _________-_________-____________________________ | |
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| I am volunteering for: [Check boxes you are volunteering for] | ||
| [ ] | Lake Plan Committee | |
| [ ] | KLCOA Lands Committee | |
| [ ] | Regatta | |
| [ ] | Community Policing | |
| [ ] | Swimming | |
| [ ] | Rock Bass Tournament | |
| [ ] | Membership | |
| [ ] | Newsletter | |
| [ ] | Island Cleanup | |
| [ ] | KLCOA 50th Anniversary Events | |
| [ ] | I am student and need a letter recognizing my volunteer hours for school. | |
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| Comments | ||