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Yes! I want to join CF RaceDay.

An asterisk (*) indicates required information.

Basic Registration fee is $100.00. This includes one vehicle with one driver only. You may add passengers ($10/person) in the form below.

Please send your registration information to cfraceday@gmail.com

Please include the following information in your email.

Driver Information
*First Name:  
Middle Name:  
*Last Name:  
*I would like a complementary: - Hat or Shirt
*Mailing Address:  
   
*City/Town:  
*Province:  
*Postal/Zip Code:  
*Country:  
Home Phone:  
*E-mail address:  
Passenger Information
Number of Passengers (excluding driver) - (additional $10.00 ea)
Additional Hats - (additional $10.00 ea)
Additional T-shirts - (additional $10.00 ea)

 

Vehicle Information
Make:  
Model:  
Year:  
Colour:  
Registration Fee

*I would like to pledge:

$25 Car reservation  (balance due the morning of the event)

$100 Minimum Pledge Amount

I prefer to give: $


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Pledge Sheet...

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2011 CF Raceday (formerly known as Cruizn' for CF)
Cystic Fibrosis Canada is committed to protecting the privacy of the personal information of its employees, members, donors, volunteers and other stakeholders. Details of our privacy policy are available by sending an e-mail to privacy@cysticfibrosis.ca with “Attention Privacy Officer” in the subject line, or by contacting the Cystic Fibrosis Canada at 1-800-378-CCFF (2233). Charitable registration # 10684 5100 RR0001.