Member Registration 2018
Athlete First and Last Name *
Your answer
I confirm that I/the athlete has passed the required minimum swim requirement: Red Cross Level 6, LSS Swimmer 5, or equivalent. (Parent must complete for athletes aged under 18) *
Required
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Athlete Home Phone Number *
Your answer
Athlete Cell Number (if n/a - parent cell) *
Your answer
Athlete email
Your answer
Does the athlete have a disability, injury, medical condition or allergy that we should know about for their safety? *
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This form was created inside of Richmond Hill Canoe Club.