free air, prizes and silent aucion items provided by these ... · paricipaion: registraion fee...
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The Canadian Cancer Societyprovides funds for all types ofcancer Research, Preven-tion, Community Educationand Awareness Programs,
Support Services for CancerPatients and much more. To-
gether divers and bubble watch-ers can make a difference and help the
CCS achieve their goal of:
“A Future Where No Canadian Fears Cancer”
You are cordially invited to join us for our
5th AnnualNDA Dive for a Cure
(D4AC)
October 5th 2014WRCC Scuba Park,
147 Lincoln St., Welland ON
www.niagaradivers.com905.980.0784
p r e s e n t s
Free air, prizes and silent auction itemsprovided by these participating Dive Shops:
The Dive Academy1380 Speers Road, Unit 10, Oakville
Ontario L6Y 5V3 905.847.9595
Float N Flag3245 Harvester Road, Unit 9, Burlington
Ontario L7N 3T7 905.333.DIVE
Adventure Scuba & Watersports22 Secord Drive, St. Catharines
Ontario L2N 1K8 905.938.3483
Bob’s Scuba 222 Kenilworth Avenue North, Hamilton
Ontario L8H 4S2 905.547.5506
Rec and Tek Scuba529 Upper Sherman Avenue, Hamilton
Ontario L8V 3L9 905.385.0300
Dan’s Dive Shop329 Welland Avenue
St. Catharines, Ontario L2R 2R2905.984.2160
Sherkston Scuba490 Empire Road
Sherkston, Ontario L0S 1R0905.894.1795
The Niagara Divers’ Associa-tion (NDA) was founded in1988 and currently has about50 members from around the
Niagara Region (Niagara Peninsula, Ontario,Canada). We have one of the most ambitious diveschedules in Ontario. Just about every weekendfrom Mid-May to the end of September, we’resomewhere in the Southern Great Lakes. We caterto all levels of divers, and are one of the very fewclubs that offers challenging diving to even the mostadvanced of divers. From Novice to Trimix, we havesomething for everyone. In the spring, we host ourannual SHIPWRECKS Symposium.
CONTACT DIVE FOR A CURE:c/o 6 Bradmon Drive, St. Catharines, ON L2M 1T4
Email: [email protected]: Christine Davidson 905.980.0784
JOIN US AT:WRCC Scuba Park
147 Lincoln Street, Welland OntarioGPS: N 42.98379 W 079.25622
Printing Sponsored by Vivid Eye Photography
vivideye.ca
Participation:Registration fee includes: 2 dives, air*, food,eligibility for prizes, one pumpkin per buddyteam, and donation to the Canadian CancerSociety and all the fun you can muster! Atleast $25.00 of every registration will bedonated to the Canadian Cancer Society.Register by the Early bird cutoff date and geta $5.00 discount!
Divers and Bubblewatchers alike are welcometo participate in our Silent Auction. We accept Visa, MC, Cash and Cheque.
Our MC Comedian Larry Smith is returningagain this year and will keep you entertainedall day long!
Don't forget to bring your pumpkin carvingknives, dive knives are not appropriatecarving tools. Carving knives will be availablefor purchase.
(*visit your local participating dive shop 2 daysprior to receive 2 free air fills. Available forregistered participants only.)
D4AC Merchandise:Can be ordered online.
Volunteers: Yes Please!!Register online or contact us.
Donations: Yes Please!!Please contact us!!!
We gratefully accept monetary donationseither as pledges to the CCS or to support
the event, as well as donations such asrefreshments and items to be used for
Silent Auction, raffles and prizes.
Registration: $35.00 at the event.Early bird registration $30.00
ENDS Friday October 3rd at midnight.
You can register online or get a registrationform online, pick one up at a participating diveshop, or contact us and we will send you one.www.niagaradivers.com
Bubble Watchers: No registration required for non-divers.
Refreshments available for purchase. Pumpkinsavailable for a donation. Children are welcometo join in our landlubber scavenger hunt for adonation.
Pledges:All pledges donated to theCanadian Cancer Society.Pledge sheets availableonline, at your local par-ticipating dive shop orcontact us.
Online fundraising isavailable directlythrough the CanadianCancer Society Community Fundraising. Pleasejoin our online fundraising team.
OCTOBER 5, 2014
THANK YOU FOR YOUR SUPPORT!
Page of
Tax receipts will be issued for $20 or more, unless otherwise requested. The donor's name and address must be
clearly printed and complete on the form below. All cheques should be payable to: Canadian Cancer Society. Will you deliver receipts to your donors? Yes NoCharitable Registration No. 11882 9803 RR0006
Office Use OnlyParticipant #
PLEDGE FORM
FIRST NAMELAST NAME
HOME ADDRESSCITY PROV. POSTAL CODE PLEDGE COLLECTED RECEIPT NO.
TOTAL PLEDGES:$
$
$
$Total Collected:
Balance Remaining:
Outstanding Received:
We respect your privacy. The Society collects your personal information in order to process your donation and to issue a tax receipt. We may also contact you from time to time with information about other ways
you can help us in our fight against cancer. If you prefer not to receive this kind of communication from us or for more information about our privacy practices: www.cancer.ca | 1 800 268-8874, press 1, ext. 2257 |
e-mail: [email protected]. The provision of age and gender information is optional and used only for internal marketing and statistical purposes.
Participant Permission and Release AgreementBy participating in a Canadian Cancer Society event: I grant permission to the Canadian Cancer Society to photograph and videotape me in the course of my participation in the event, and to use my name and any
photographs and videotapes of me for Canadian Cancer Society purposes in any media and territory in perpetuity. I waive and release any and all claims for myself, my heirs, executors and administrators against
the Canadian Cancer Society, its agents, employees and licensees and any sponsors, officials, volunteers and organizers of the event in conjunction with any injury, illness, or death, or loss or damage to property,
which may directly or indirectly result from my participation in this event, and any claim arising in connection with the use of my name or any photographs or videotapes of me. I acknowledge that I will not receive
any financial remuneration for any of the above and that my compensation is the opportunity to participate in the eventand contribute to the activities of the Canadian Cancer Society. I warrant that I am fit to
participate in this event. If a participant is under 18 years of age then a parent/guardian must sign this agreement on the participant's behalf.
Name of Participant:
Signature:
Date:
Mr. Mrs. Ms. Dr. Other First Name:
Last Name:
Address:
Apt./Suite:City:
Prov:
Postal Code:Home Tel:
Bus Tel:E-mail:
Age Range (Optional): Under 18 18-29 30-39 40-49 50-59 60+ Gender (Optional): M F
© Canadian Cancer Society 2007 ||
Printed September 2007 470177
By participating in a Canadian Cancer Society event: I grant permission to the Canadian Cancer Society to photograph and videotape me in the course of my participation in the event, and to use my name
and any photographs and videotapes of me for Canadian Cancer Society purposes in any media and territory in perpetuity. I waive and release any and all claims for myself, my heirs, executors and
administrators against the Canadian Cancer Society, its agents, employees and licensees and any sponsors, officials, volunteers and organizers of the event in conjunction with any injury, illness, or death, or
loss or damage to property, which may directly or indirectly result from my participation in this event, and any claim arising in connection with the use of my name or any photographs or videotapes of me. I
acknowledge that I will not receive any financial remuneration for any of the above and that my compensation is the opportunity to participate in the event and contribute to the activities of the Canadian Cancer
Society. I warrant that I am fit to participate in this event. If a participant is under 18 years of age then a parent/guardian must sign this agreement on the participant's behalf.
Tax receipts will be issued for $20 or more, unless otherwise requested. The donor's name and address must be
clearly printed and complete on the form below. All cheques should be payable to: Canadian Cancer Society.
We respect your privacy. The Society collects your personal information in order to process your donation and to issue a tax receipt. We may also contact you from time to time with information
about other ways you can help us in our fight against cancer. If you prefer not to receive this kind of communication from us or for more information about our privacy practices: www.cancer.ca |
1 800 268-8874, press 1, ext. 2257 | e-mail: [email protected]. The provision of age and gender information is optional and used only for internal marketing and statistical purposes.
DDIIVVEE FFOORR AA CCUURREEPPLLEEDDGGEE FFOORRMMwww.niagaradivers.com
D4AC CONTACT:Email: [email protected]
Phone: Christine Davidson 905.980.0784Please excuse this black and white presentation. We are using the savings to further the cause
THANK YOU FOR YOUR SUPPORT