Northern Lights Youth Mentor Project - Calgary Registration Form
Please fill out the sections below to register for the Northern Lights Youth Mentor Project in Calgary.

There will be two centres you can register for:
  - Royal Oak - Tuesdays at 6pm
  - Glenbrook - Thursdays at 6pm
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Email *
Participants Name *
Best email to contact participant - by entering a different email to the one above, you're giving us consent to reach out to your child directly (in the event of things like webinars/small group mentoring/etc) *
Participants DOB *
MM
/
DD
/
YYYY
Jersey / T Shirt size (For training shirt and jersey) *
Which venue are you planning on attending? *
Are you able / planning to make it to all 6 sessions? *
What three things as a parent / carer looking to get out of this Project? *
What are the top three things your youth participant is looking to get out of this project? *
The Calgary Kookaburras  / AFL Canada will be taking photos/videos of the sessions throughout the project that may include your youth.  Do you give permission for these to be shared on social media? *
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