Registration Form

Contact and Emergency Information

*Email
*Confirm Email
*Guardian First Name
*Guardian Last Name
*Gaurdian Phone
*Address Line 1
Address Line 2
*City
*Province
*Postal
Work or Emergency Phone

Player Information

*Student First Name
*Student Last Name
Position
Age at July 1
in years
Experience
in years
Height
Weight
*Gender

Medical Information

Doctor Name
Doctor Phone
Allergies
Medical No.
Pin No.

Payment Information

*Event
Payment Method