Saskatchewan Brain Injury Association
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Events
Camp Registration
Register Online:
Please make sure that you fill out all fields that apply.

Name:
Email Address:
Confirm Email Address:
Phone:
Support Group:
Address:
City:
Province:
Postal Code:
Special Dietary Needs:
Family Member(s) Staying with you:
Name of Emergency / Primary Contact:
Emergency Contact Phone Number:
If you have any mobility and/or other special needs please specify below :
The Health Form is also required for registration, but is not available online due to privacy laws. Please download and submit the health form, either by email to sbia.events@sasktel.net or by mail to P.O. Box 3843 Regina SK S4P 3Y3.
Registration Fees:
$45 for a member
$55 for member
$180 per family

Please make checks payable to the Saskatchewan Brain Injury Association and mail to:

Saskatchewan Brain Injury Association
P.O. Box 3843
Regina, SK S4P 3Y3
Canada

Pay online using the form below.