Wufoo
Canowindra Challenge Expression of interest
By filling out this form you are registering your interest in becomming a participant or helper in The Canowindra Balloon Challenge April 5th to 11th 2010
Your Name
*
First
Last
Email
*
Telephone Details ( Mobile, Landline )
*
Please answer the following Questions
yes
no
I will be bringing a balloon
1
2
I would like to volunteer to be an official
1
2
I would like to camp at the high school
1
2
Yes
No
I have more than 30 hours PIC
1
2
I would like to try out some of the video technology you will be showcasing.
1
2
I support the Canowindra bid to host the 2011 Nationals
1
2
Do you have any comments or questions
*
Do Not Fill This Out
Wufoo
Powered
Wufoo
Powered