Registration

Registration

First Name
 
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Last Name
 
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Initial
Street
 
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City
 
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Postal Code
 
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Home Phone
 
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Cell Phone
Work Phone
Email Address
 
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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:       
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