An Agency of the Cultural Development Foundation

CARNIVAL PLANNING & MANAGEMENT AGENCY An Agency Of The Cultural Development Foundation

REGISTRATION FORM FOR J’OUVERT BANDS

NAME OF GROUP: ______

ORIGIN OF GROUP: ______

PORTRAYAL: ______

GROUP TOTAL (total number of persons in group): ______

POSTAL ADDRESS OF GROUP: ______

______

CONTACT DETAILS GROUP LEADER:

NAME: ______

TELPHONE NOS: ______

E-MAIL ADDRESS: ______

CONTACT DETAILS FOR ALTERNATE:

NAME: ______

TELPHONE NOS: ______

E-MAIL ADDRESS: ______

Barnard Hill Saint Lucia T: 758 453-7481 E: [email protected] P.O.Box CP 5405 F: 758 459-0615 W: www.cdfstlucia.org Page 1 of 2 CARNIVAL PLANNING & MANAGEMENT AGENCY An Agency Of The Cultural Development Foundation

REGISTRATION DATE: ______

NAME (person registering Group): ______

SIGNATURE: ______

FOR OFFICIAL USE

REGISTRATION FORM RECEIVED BY: ______

REGISTRATION FEE: ______

PAID BY: CASH CHEQUE: ______(Bank) (Chq #)

RECEIPT NO.: ______

SIGNATURE: ______(for and on behalf of CPMA)

DATE: ______

Barnard Hill Saint Lucia T: 758 453-7481 E: [email protected] P.O.Box CP 5405 F: 758 459-0615 W: www.cdfstlucia.org Page 2 of 2