Rotary Club Application form
 
2020 Adventure in the Environment
 
Hosted by the Rotary Club of Cornwall Sunrise
 
Sunday, September  21 to Thursday September 24, 2020
 
Students must be 15 years of age or older, in either Grade 11 or 12 and have completed 2 years of high school science.
 
Sponsoring Rotary Club: ___________________________

Club coordinator’s name: ________________________

Street address: ________________________________

Town: ________________Prov/state _____ Postal Code/zip__
 
Phone number (      ) __________ Business number (      ) __________
 
Email: _________________________________ 
 
Signature: ______________________ date:_____________
Please enclose application fee of $550 CAD
Name of participant being sponsored by club (if known at time of remittal): ________________________________________
 
 
Submit application by August  31 2020 to:
Katie Burke
435 York Street
Cornwall ON K6J 3Z6 or e-mail to brkcornwall@gmail.com
Sponsors