Keep Up! With Rexdale Volleyball & Fitness Challenge Application Form
This application form is required to enter the Keep Up! with Rexdale Volleyball & Fitness Challenge featuring ParticipACTION. It must be completed by the participant or by a parent/guardian if the participant is under the age of 18.

Full contest rules can be found here:
Participant Name *
City & Province of Residence *
Participant Email Address (must be the same email address used to submit a challenge video) *
Participant Instagram account name (optional)
OPTIONAL: Does participant live in Rexdale, Toronto? You must select "YES" if you would like to be considered in the "Rexdale Youth" category in the Volleyball Video Challenge,
Clear selection
Participant Age *
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