Evenings With The Astronomers
Fall 2017 Lecture Series


Maximum number of participants: 18

-------------------- complete the following form and deliver it along with your payment to the address shown above --------------------

"EWTA Lecture Series - Fall 2017 - Registration Request

"Although I expect the DDO Defenders to make every effort to accomodate the stated needs of all participants, the DDO Defenders cannot be held responsible/liable for any adverse food-borne allergic reaction(s) while participants are attending the above lecture series."
- I(we) agree with the above statement. (confirmation by marking the checkbox is required if you want to attend)
Registrant's Name:
Contact e-mail:
Contact 10-digit phone#:
Favourite Pastry/Cookie:
(Second Registrant's Name:)
Please choose one of the following...
- I WILL ATTEND on TUESDAYS (Nov.14, 21, 28, Dec.5).
- I want to come, but CANNOT ATTEND on TUESDAYS.
If you would rather or need to attend on a DIFFERENT Day-of-the-Week, please indicate this below:
Other Dates you are Available: (check all that apply)
- Wednesdays: Nov.15, 22, 29, Dec.6
- Thursdays: Nov.16, 23, 30, Dec.7
- Fridays: Nov.17, 24, Dec.1, 8
- Saturdays: Nov.18, 25, Dec.2, 9
- Sundays: Nov.19, 26, Dec.3, 10
- Mondays: Nov.20, 27, Dec.4, 11
Comments and additional info:

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