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: