Fresh Air for Health Care Weekly Registration Form
We will use the information contained in this form to get your equipment set and ready for you each time you join us. After your first visit, you will no longer need to complete the full form. Simply fill in the required fields and proceed with registration.
Northside General Hospital
New Waterford Consolidated Hospital
Glace Bay Hospital
Have you attended a previous weekly clinic?
Yes (if yes, please proceed to the "Lesson" section).
Date of Birth
Ability Level (beginner, intermediate, advanced)
Do you plan on skiing, snowboarding or snowshoeing this week?
Do you plan on taking advantage of a lesson this week?
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