Registration

Registration

First Name
  		 Last Name
  		 Initial
Street
  		 City
  		 Postal Code
  
Home Phone
  		 Cell Phone
 Work Phone
Email Address
  
If under 18
Mother's First Name
 Mother's Last Name
 Mother's Phone
Father's First Name
 Father's Last Name
 Father's Phone
Date of Birth
 Month of Birth
 Year of Birth
Gender
 OHIP #
Doctor's Name
 Doctor's Phone #
Allergies or Medical Conditions
In case of emergency contact
First Contact:
Name
    Relationship
   
Address
Phone #
 Work #
 Cell #
Second Contact:
Name
    Relationship
   
Address
Phone #
 Work #
 Cell #
Member Status
 CFF License
 Program
Volunteer Sign Up - For athletes and parents
Marketing
Fundraising
Special Events
Armoury
Set-up/take down
Competition Mgmt
Officiating 		Canteen
Coaching
Billeting
Driver/chaperone
Travel Coordination
Hospitality 		Other
For New Members - How did you hear about us?
Newspaper
TV/Radio
Internet
Friend/Family
Summer Camp
City of Kingston Leisure Showcase
CFB Kingston Garrison Expo
Other		 Please list the names of all places you have heard about us:
Type text as   
it appears: