MUNA Application "Form B" | MUNA Home

MUNA Application "Form A"
To be filled out by the Sponsoring Rotary Club or School.
APPLICATION
Sponsoring Rotary Club or School: City:
     
Contact Person:    

 

Address: Email:

 

City, Zip/Postal Code: Phone:

By submitting this application, the sponsoring Club confirms that the delegates have Medical Insurance Coverage

Counselor: Email:
Address: Phone:
City, Zip/Postal Code:

Please checkout the Fee Structure!
We will be sending delegations of 2 students. Counselor lodging at dorm Yes No
We will be remitting $ to The Rotary Club of Winnipeg (MUNA),  243-375 York Avenue, Winnipeg, MB, R3C 3J3

Students names may be submitted not later than April 1st 20 __ __.

Student 1. Male Female
Email: Phone:
Student 2. Male Female
Email: Phone:

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