Liquor Commission / Investigating Agency / REGISTRATION APPLICATION FOR GAMING WORKER CASINO AND RACING ENTERTAINMENT CENTRE / Gaming and Liquor Commission / AGLC Registrations Unit / Local Police / RACING ENTERTAINMENT CENTRE / /
Person
Pit Supervisor / Minor / Slot Attendant / Alberta Gaming / / /
Position
Manager Signature Facility Print Name Registration / Registration No. Games Manager / Supervisor / Title Facility Address Date Telephone GAMES MANAGER / Operator* Monitor Room Personnel *Games Manager / Games Manager and Advisor / Manager / Slot Operator / Guard Casino-Security Guard / Manager Signature Facility Print Name Facility Address Registration / Manager of Security / authorized officer / Director / Manager / MANAGER / REC SLOT OPERATOR / registered dealer / MANAGER / CASINO SLOT OPERATOR / dealer / pit boss or pit supervisor / Manager Slot Operator* Monitor Room Personnel *Games / Surveillance Manager / Manager Major* Games / Security guard / Manager of the casino facility licensee Note / Representative / Manager / Slot Operator / as specified / Director /Manager of Security / DEALER / Games Manager / GDate Telephone CASINO SECURITY GUARD / Cashier / /
ProvinceOrState
Liquor Regulation / PLEASE DETACH AND RETAIN FOR YOUR INFORMATION REGISTRATION CONDITIONS The Gaming / Conditions / Birth City/Town Province / Operating Guidelines / /
REGISTRATION APPLICATION FOR GAMING WORKER CASINO AND RACING ENTERTAINMENT CENTRE (REC) 50 Corriveau Avenue St. Albert, Alberta T8N 3T5