Additional Adult (Grandparent Fee) Form

Grandparent / Additional Family Fee @ $ 165.00 / Person Plus HST

Lot Licensee's Information:

First Name*

Last Name*

Province*

Postal Code*

Country*

Email Address*

Phone*

Additional Adult / Extra Person's Information:

Site #*

Extra Person's Full Name*

Extra Person's Address

Extra Person's Postal Code

Vehicle Make*

Model*

License Plate #*

Lot Licensee's Signature*

Cost Per Person (including HST)*

$186.45

Total

Enter the code displayed*

c/o The Ward Family
237 Salmon Point Road,
Cherry Valley, Ontario, Canada K0K 1P0

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