Sir Winston Ski/Snow Board Club
Last name *
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First Name *
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Date of Birth *
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Gender *
Identification *
Passport Number/ Nexus Number *
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Country of Birth *
Home Address (house number, street, unit #) *
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City *
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Home Phone *
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Parent/Guardian Name *
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Parent/Guardian Phone Number *
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Emergency Contact *
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Emergency Contact Phone Number *
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Allergies *
Health Card Number *
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Ski/Snowboard Skill level *
Bus Choice *
Out of Province Insurance *
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