Contact Info

Phone

905-630-0567

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Registration form

All fields are mandatory

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Athlete's info

Gender MaleFemale

Birthdate

Parent's info

1. Parent/Guardian




Cell 1

Work phone 1

2. Parent/Guardian





Cell 2

Work phone 2

Home phone

Emergency contact

Emergency contact (during program hours)



Emergency phone 1

Emergency phone 2

Health Info

Does your child have any medical problems?

If Yes, please explain:

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