Regional Convention Registration

Join Us for Our Annual Gathering of Service and Fellowship

How to register?

The registration process involves to main parts: the online registration form below as well as sending a cheque with the fee via mail.

The cheque can be sent to:
Charlottetown Y Service Club
Attn: Earl Foster – Registrar
124 St. Peters Rd.
Charlottetown, PE, C1A5P4

If you prefer to send in your registration via mail, please download, print and fill out the form, instead.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Will you be playing golf on Friday afternoon? (Additional fee required!)

Please list names of person(s) for whom the registration fee(s) above apply.

Full Name

Y's Man/Woman (Y/N)

Y's Menette (Y/N)

Spouse (Y/N)

Other

First Convention? (Y/N)

Type "Y" or "Yes" into those fieldsClick on the plus sign on the right to add more registrants to the list.

NOTE: The number of registrants entered above will determine the total fee you will need to send a cheque for, to confirm your registration.

Please indicate any special needs (i.e. medical, allergies, food, etc.):

Phone

This field is for validation purposes and should be left unchanged.

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