Register

Must be completed by an adult 18 years of age or older. Confirmation email to follow once registered.

Name(Required)

First Last

Email(Required)

Health Card Number(Required)

Birth Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select Age Group(Required)

Select Program(Required)

Select Package(Required)

Parent/Legal Gardian Name(Required)

Parent/Legal Gardian Phone Number(Required)

Emergency Contact 1(Required)

Emergency Contact 1 Phone Number(Required)

Emergency Contact 2(Required)

Emergency Contact 2 Phone Number(Required)

Current School(Required)

Current Club(Required)

Primary Position(Required)

Height(Required)

Weight(Required)

Experience(Required)

Know Medical Conditions(Required)

How did you learn about us(Required)

Name on the credit card

Credit Card Number

Expiry Date

CCV

Note: Payment will be processed on January 7, 2025

Note: Payment will be processed at the beginning of each month – November 29, January 1, February 1, March 1, April 1, May 1)

Note: Payment will be processed at the beginning of each month – November 29, January 1, February 1, March 1, April 1, May 1, June 1, July 1)

(please PRINT this form and complete prior to arrival)
Click here to download and fill the form