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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