Please send an email to (or fax 819-457-2663) michael.adams@tlpfoundation.com with the following details:

• Family Name (i.e. Smith Family)
• Are you an oncology family at CHEO?
• # adults (aged 13 and over) *
• # children (aged 12 and under) *
• Primary phone number where you can be reached
• Alternate phone number where you can be reached
• e-mail (optional)

* TLP Foundation will pay for a maximum of 4 tickets.

You will only be contacted if your family is picked in the draw on November 29th, 2006.

This information is not used for any other purpose other than to facilitate the organization of this event.