After School Dryland Registration
Balance, Core and Speed Training are the pillars of this class.
FOR ALL FITNESS LEVELS
Tuesdays After School!
Grades 5 – 8 boys 3:45PM – 4:45PM
Grades 9 – 12 boys 5:00PM – 6:00PM
October 15 – December 3, 2019
8 Classes for $85
Contact us at (204) 834-6623 or rec@townofcarberry.ca

If the Medical Conditions/Allergies/Special Needs and Medications Taken/Required questions do not apply, please answer either "None" or "N/A" to proceed to the next question.
Participant Name *
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Box Number *
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Postal Code *
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Birthday *
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Current Age *
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Medical Numbers *
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Medical Conditions/Allergies/Special Needs *
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Emergency Contact Name and Phone Number *
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Parent/Guardian Name(s) *
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Parent/Guardian Primary Phone Number(s) *
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How would you like to pay for this class? *
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I understand that my registration is not complete until I have submitted payment *
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Informed Consent Agreement
I declare having read and understood the above INFORMED CONSENT AGREEMENT in its entirety and hereby consent to participate acknowledging all of the above. Clicking yes to this question shall be considered equivalent to signing the document. *
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I authorize the TOWN OF CARBERRY/MUN OF NORTH CYPRESS-LANGFORD RECREATION DEPARTMENT’S AFTER SCHOOL DRYLAND PROGRAM to take photographs of my child during the activities to display and otherwise use these photos without charge solely for the purpose of promotional material in connection with the program. *
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