Ignite Open Gym
Please complete the registration form below.
Athlete Last Name *
Your answer
Athlete First Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
Postal Code *
Format: N1N 1N1
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Team, Club, and/or School you play for or have played for. *
Your answer
T-shirt Size - NOT Being offered with program *
Parents Names 1 *
Your answer
Parents Names 2
Your answer
Email Address 1 - Please indicate ALL email addresses that are checked regularly *
Your answer
Email Address 2 - Please indicate ALL email addresses that are checked regularly
Your answer
Email Address 3 - Please indicate ALL email addresses that are checked regularly
Your answer
Home Phone Number
Your answer
Cell Phone Number 1 *
Must accept text messages!
Your answer
Cell Phone Number 2
Must accept text messages!
Your answer
Select all Open Gym Sessions you are attending. $5.00 each session. *
Required
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