Last Name First Name Phone Number: Date of Birth Your email Team Name Mailing Address Registration Deadline is September 21, 2023. Registration Fee: $40.00 Early Registration: (Before August 12, 2023) $50.00 Regular Registration: (After August 12, 2023) Mail or deliver to: Wellspring Family Resource & Crisis Centre 5116 – 51 Avenue Whitecourt, AB T7S 1A1 Contact: Trish tlockard@whitecourtshelter.ca 780-778-6209