In-Person BINGO Night (Mon May 12 – PETL and PRLC Event)

Join your PETL & PRLC colleagues and friends for a night of BINGO fun! A minimum $5 cash donation upon arrival required to play. Donations will go toward either the Embrave Women’s Shelter or the Laadliyan organization. Registration Deadline Friday, May 2 at 4 PM

Registration is Open – Registration Deadline Friday, May 2 at 4 PM

First Name

Last Name

School / Worksite

Personal / Non-Board Email

Mobile Number

Dietary Requirements (i.e., Anaphylaxis/Allergy to , Gluten-free, Halal, Kosher, Lactose Intolerant, Pescatarian, No Dairy/Beef/Pork, Vegetarian, Vegan)

Accommodations

Please Select:

PETL Member PRLC Member

Donation Acknowledgement

I understand a minium $5 cash donation for Laadliyan/Embrave will be required upon arrival

BINGO Dabber Acknowledgement

I have my own BINGO dabber and will bring it with me to the event I do NOT have a BINGO dabber and will require one provided to me for use at the event

I understand that only registered and confirmed participants will be able to attend the BINGO Night event.

Self Identification

Non-Binary Woman Man Two-Spirit LGBTQIA+ Heterosexual Non-Disabled Person with a Disability First Nations Metis Inuit Black White Racialized Person (specify below)*

Racialized Person (Please Specify)*

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