[if 342 equals="Yes"] [/if 342] [if 392 equals="Yes"] [/if 392]

Winner Information

Preferred Name: [442] [443]
Travel ID Name: [326] [328]
Date of Birth: [332] / [331] / [330]
SIN# (for T4A4 forms): [387]
Gender: [450]

Mobile#: [336]
Email address: [365]

Mailing Address: [374] [if 383][383], [/if 383] [378], [368], [380]

Aeroplan#: [334]
Departure City: [377]

Do you have any accessibility requests? [342]
Accessibility requests: [343]

Regarding accommodations, would you prefer: [340]

Do you wish to extend your trip? [392]
Check-out date: [393]

Emergency contact name and mobile#
Name: [346]
Mobile#: [348]

Are there any other special circumstances we should be aware of: [397]


Consent Waiver [if 545]Yes[/if 545]

[if 419 equals="Yes"] [/if 419]

Guest Information

Preferred Name: [444] [445]
Travel ID Name: [401] [402]
Date of Birth: [404] / [405] / [406]
Gender: [451]

Mobile#: [409]
Email address: [411]

Aeroplan#: [414]

Do you have any accessibility requests? [419]
Accessibility requests: [420]

Emergency contact name and mobile#
Name: [422]
Mobile#: [425]

Are there any other special circumstances we should be aware of: [429]

Consent Waiver [if 547]Yes[/if 547]